Individual provider Active NPI

Timothy John McMahon, PT, OCS

  • Orthopedic Physical Therapist
  • Atlanta, GA
National Provider Identifier
1982911590
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
003086 Issued in GA
Practice address
3001 Mercer University Dr
Davis Building, Suite 106
Atlanta, GA 30341-4115
Phone
(678) 547-6778
Fax
(678) 547-6202
NPI assigned
Sep 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003086 GA
Sports Physical Therapist 2251S0007X 003086 GA
Orthopedic Physical Therapist 2251X0800X 003086 GA Primary

Addresses

Primary practice location

3001 Mercer University Dr
Davis Building, Suite 106
Atlanta, GA 30341-4115

Mailing address

3001 Mercer University Dr
Davis Building, Suite 106
Atlanta, GA 30341-4115
Phone (678) 547-6778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000342 GA Practitioner - Physical Therapist in Private Practice 0941461586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Corporation of Mercer UniversityGroup PAC ID 7618968066, 6 clinicians

Practice addresses (Care Compare)

1550 College St
Macon, GA 31207-0001
Phone (478) 752-2497

1603 College St
Macon, GA 31207-0001
Phone (478) 301-4091

3001 Mercer University Dr
Suite 106
Atlanta, GA 30341-4115
Phone (678) 547-6439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Corporation of Mercer University Current Accepting new patients
The Corporation of Mercer University CurrentSince Feb 1, 2012 Accepting new patients
Movement Sports Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2012 Accepting new patients
Mercer Physical Therapy Past Accepting new patients

Locations

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

1550 College St
Macon, GA 31207
Phone (478) 301-2600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1982911590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 MERCER UNIVERSITY DR",
            "address_2": "DAVIS BUILDING, SUITE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414115",
            "telephone_number": "678-547-6778",
            "fax_number": "678-547-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 MERCER UNIVERSITY DR",
            "address_2": "DAVIS BUILDING, SUITE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414115",
            "telephone_number": "678-547-6778",
            "fax_number": "678-547-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "003086",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "GA",
            "license": "003086",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "003086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.