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DR. JONATHAN CHARLES LEE MACK MD
NPI 1013658699
Family Medicine in Winston Salem, NC

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment
390 W SALEM AVE, WINSTON SALEM, NC 27101(336) 721-2375(336) 721-2394 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2025, Apr 19, 2022, Apr 6, 2022 (3 updates tracked since 2022).

About Dr. Jonathan Charles Lee Mack Md NPPES

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

DR. JONATHAN CHARLES LEE MACK MD (NPI 1013658699) is an individual family medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2025-01755) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1013658699
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHAN CHARLES LEE MACKCredential: MD
Location Address390 W SALEM AVEWinston Salem, NC 27101-5861
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 721-2375 · Fax (336) 721-2394
Phone(336) 721-2375
Fax(336) 721-2394
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1013658699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2025-01755
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
390 W SALEM AVE, Winston Salem, NC 27101
Open in Google Maps ↗

Secondary Practice Location 1

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-6688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Jonathan Charles Lee Mack Md 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 ID3274034467
PECOS Enrollment IDI20250828004978
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.

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27101 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.

Other Providers at the Same Location NPPES 12

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

NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375
PHILLIP ANTONIO KELLEY PA-C
Physician Assistant
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375
MR. ANDREW SCOTT HENDERSON PA-C
Physician Assistant
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375
DANIELLE EMILY STADLER PA-C
Physician Assistant
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375
MAGGIE ELIZABETH FOSTER PA-C
Physician Assistant
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375
NOVANT MEDICAL GROUP, INC.
Family Medicine
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375
MRS. ANTONETTE RHONDA FARMER SCOTT FNP
Nurse Practitioner
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375
MRS. KRISTEN E RINKENBERG PA
Physician Assistant
390 W SALEM AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 721-2375

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 Jonathan Mack's NPI number?

The NPI number for Jonathan Mack is 1013658699. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Jonathan Mack located?

Jonathan Mack practices at 390 W Salem Ave, Winston Salem, NC 27101. The listed phone number is (336) 721-2375.

What is Jonathan Mack's specialty?

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

Is Jonathan Mack enrolled in Medicare?

Yes. Jonathan Mack 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 Jonathan Mack accept?

Health plans from Blue Cross and Blue Shield of NC list Jonathan Mack 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 Jonathan Mack affiliated with any hospitals?

According to CMS data, Jonathan Mack is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Mack was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.