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MR. JAMES ROBERT MCMAHON CFNP
NPI 1275503146
Nurse Practitioner - Family in Cherry Point, NC

Active since January 24, 2006PECOS Enrolled
NAVAL HOSPITAL CHERRY POINT, PSC BOX 8023, CHERRY POINT, NC 28533(252) 466-0295(252) 466-0159 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. James Robert Mcmahon Cfnp NPPES

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

MR. JAMES ROBERT MCMAHON CFNP (NPI 1275503146) is an individual family provider in Cherry Point, North Carolina, licensed in South Carolina (APN 999) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1275503146
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES ROBERT MCMAHONCredential: CFNP
Location AddressNAVAL HOSPITAL CHERRY POINT, PSC BOX 8023Cherry Point, NC 28533-0023
Mailing Address236 Haile StSumter, SC 29150-3272 · (803) 720-2212
Phone(252) 466-0295
Fax(252) 466-0159
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1275503146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · APN 999
NAVAL HOSPITAL CHERRY POINT, Cherry Point, NC 28533
Open in Google Maps ↗

Secondary Practice Location 1

Location 18 Richland Medical Park Dr Ste 420Columbia, SC 29203-8004 · Phone (803) 434-8050 · Fax (803) 933-3005

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Robert Mcmahon Cfnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Mcmahon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Physician Associates II
170 mi
Urology
800 E CHEVES ST, SUITE 350
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
NPI 1649428194 (843) 665-2000
Prisma Health Medical Group-Midlands
208 mi
Plastic and Reconstructive Surgery
115 N SUMTER ST STE 115
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1447749510 (803) 774-7546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services39 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
19 services12 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
17 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$6.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers35 claims35 services$87.96 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. NANCY GERTRUDE DIXON M.D., PHD
Obstetrics & Gynecology (Obstetrics)
NAVAL HOSPITAL CHERRY POINT, PSC BOX 8023; BUILDING # 4389
CHERRY POINT, NC 28533
Craven County (252) 466-0196
DR. CHRISTOPHER THOMAS BLAIR PH.D.
Psychologist (Clinical)
NAVAL HOSPITAL CHERRY POINT, PSYCHOLOGY DEPARTMENT
HAVELOCK, NC 28533
Craven County (252) 466-0504
DR. MICHAEL GLENN WILLIAMS PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
NAVAL HOSPITAL CHERRY POINT, BUILDING 4389
CHERRY POINT, NC 28533
Craven County (252) 466-0254

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 James Mcmahon's NPI number?

The NPI number for James Mcmahon is 1275503146. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is James Mcmahon located?

James Mcmahon practices at Naval Hospital Cherry Point Psc Box 8023, Cherry Point, NC 28533. The listed phone number is (252) 466-0295.

What is James Mcmahon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Mcmahon enrolled in Medicare?

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

Which organizations bill Medicare for James Mcmahon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcmahon reassigns Medicare benefits to 2 organizations: Mcleod Physician Associates II (Florence, SC) and Prisma Health Medical Group-Midlands (Sumter, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mcmahon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mcmahon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list James Mcmahon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Mcmahon was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.