DR. HOLLY MAHON MD
NPI 1952397887
Pediatrics - Pediatric Emergency Medicine in Ft Lauderdale, FL

Active since September 26, 2005PECOS Enrolled
1600 S ANDREWS AVE, BROWARD PEDIATRICS ED, FT LAUDERDALE, FL 33316(954) 355-4400 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Holly Mahon Md NPPES

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

DR. HOLLY MAHON MD (NPI 1952397887) is an individual pediatric emergency medicine provider in Ft Lauderdale, Florida, licensed in Florida (ME64987) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952397887
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. HOLLY MAHONCredential: MD
Location Address1600 S ANDREWS AVE, BROWARD PEDIATRICS EDFt Lauderdale, FL 33316-2510
Mailing Address2545 Riverlane TerFt Lauderdale, FL 33312-4765
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJuly 11, 2012
NPI 1952397887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in FL · ME64987
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License ME64987 (FL)
1600 S ANDREWS AVE, Ft Lauderdale, FL 33316

Other Identifiers 5

Medicare UPINF67909
Medicaid037341199FL
Medicare PIN23458CFL
Other23458FL · Medicare Core
Medicare PIN23458DFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Holly Mahon 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.

Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316

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 Holly Mahon's NPI number?

The NPI number for Holly Mahon is 1952397887. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Holly Mahon located?

Holly Mahon practices at 1600 S Andrews Ave Broward Pediatrics Ed, Ft Lauderdale, FL 33316. The listed phone number is (954) 355-4400.

What is Holly Mahon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Holly Mahon enrolled in Medicare?

Yes. Holly Mahon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Mahon was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.