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STEPHEN HIGGINS MCMAHON MD
NPI 1164162665
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 31, 2022PECOS Enrolled
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 716-4131(336) 713-0328 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Higgins Mcmahon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN HIGGINS MCMAHON MD (NPI 1164162665) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164162665
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN HIGGINS MCMAHONCredential: MD
Location Address140 CHARLOIS BLVDWinston Salem, NC 27103-1522
Mailing Address2246 Cherokee LnWinston Salem, NC 27103-4422 · (205) 937-9612
Phone(336) 716-4131
Fax(336) 713-0328
Sole ProprietorNo
Enumeration DateMarch 31, 2022
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1164162665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
140 CHARLOIS BLVD, Winston Salem, NC 27103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Higgins Mcmahon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSICA JADE PRYOR MD
Urology
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4131
OLUWATOYIN ALABA FADEYI DNP
Nurse Practitioner
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4131
DR. DYLAN THOMAS WOLFF MD
Student in an Organized Health Care Education/Training Program
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4131
MEGAN KOONTS PAYNE PA-C
Physician Assistant
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-0664
STEVE JAMES HODGES MD
Urology
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-2255
CELESTE WATTS DAVIS NP
Nurse Practitioner
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4131
OBAFUNBI OPEOLUWA ABIMBOLA-AWOPETU MD
Urology
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4131
MAJID MIRZAZADEH MD
Urology
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Mcmahon's NPI number?

The NPI number for Stephen Mcmahon is 1164162665. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Stephen Mcmahon located?

Stephen Mcmahon practices at 140 Charlois Blvd, Winston Salem, NC 27103. The listed phone number is (336) 716-4131.

What is Stephen Mcmahon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Mcmahon enrolled in Medicare?

Yes. Stephen Mcmahon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Mcmahon was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.