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DR. DANIEL MCMAHON M.D.
NPI 1386089720
Family Medicine in Holly Springs, GA

Active since April 29, 2013PECOS EnrolledAccepts Medicare Assignment
684 SIXES RD STE 105, HOLLY SPRINGS, GA 30115(678) 388-5170 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2020, May 13, 2020, Aug 22, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Daniel Mcmahon M.d. NPPES

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

DR. DANIEL MCMAHON M.D. (NPI 1386089720) is an individual family medicine provider in Holly Springs, Georgia, licensed in Georgia (076463) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386089720
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL MCMAHONCredential: M.D.
Location Address684 SIXES RD STE 105Holly Springs, GA 30115-8720
Mailing Address684 Sixes Rd Ste 105Holly Springs, GA 30115-8720 · (678) 388-5170
Phone(678) 388-5170
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 29, 2013
Last NPPES UpdateJune 19, 20204 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
✔ NPI 1386089720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 076463
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
684 SIXES RD STE 105, Holly Springs, GA 30115
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Mcmahon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597050476
PECOS Enrollment IDI20160817002361
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.

Areas of Expertise CMS Part B claims 8

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.
204 services126 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.
152 services116 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$41.79 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$41.65 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 4

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

MIANNA MANTOOTH SMITH FNP-C
Nurse Practitioner (Family)
684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115
Cherokee County (678) 388-5170
KENDALL WILLIAMS
Nurse Practitioner (Family)
684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115
Cherokee County (678) 388-5170
DR. MONIKA S YADAV M.D.
Internal Medicine
684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115
Cherokee County (678) 494-9669
OLDE TIME PHARMACY AT SIXES LLC
Pharmacy (Community/Retail Pharmacy)
684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115
Cherokee County (770) 783-0483

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 Daniel Mcmahon's NPI number?

The NPI number for Daniel Mcmahon is 1386089720. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Daniel Mcmahon located?

Daniel Mcmahon practices at 684 Sixes Rd Ste 105, Holly Springs, GA 30115. The listed phone number is (678) 388-5170.

What is Daniel Mcmahon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Mcmahon enrolled in Medicare?

Yes. Daniel Mcmahon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Mcmahon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Daniel 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.

Is Daniel Mcmahon affiliated with any hospitals?

According to CMS data, Daniel Mcmahon is affiliated with Northside Hospital Cherokee, Wellstar Kennestone Regional Medical Center and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Mcmahon was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.