Provider Demographics
NPI:1225900525
Name:MCMAHON WELLNESS
Entity type:Organization
Organization Name:MCMAHON WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:770-430-9897
Mailing Address - Street 1:228 MORROW RD APT 27E
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2824
Mailing Address - Country:US
Mailing Address - Phone:770-430-9897
Mailing Address - Fax:
Practice Address - Street 1:228 MORROW RD APT 27E
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2824
Practice Address - Country:US
Practice Address - Phone:770-430-9897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCMAHON WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities