ELIZABETH HAYES MACK MD
NPI 1073684593
Pediatrics - Pediatric Critical Care Medicine in Charleston, SC

Q: What is Elizabeth Mack's NPI number?

The NPI number for Elizabeth Mack is 1073684593. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Elizabeth Mack's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Mack was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elizabeth Hayes Mack Md NPPES

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

ELIZABETH HAYES MACK MD (NPI 1073684593) is an individual pediatric critical care medicine provider in Charleston, South Carolina, licensed in South Carolina (24421) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of University Of South Carolina School Of Medicine (2003).

NPPES Registry Identity

NPI1073684593

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameELIZABETH HAYES MACKCredential: MD

Location Address171 ASHLEY AVECharleston, SC 29425-8908

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2003

Enumeration DateNovember 13, 2006

Last NPPES UpdateNovember 3, 2025

NPPES CertifiedNovember 3, 2025

✔ NPI 1073684593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in SC · 24421

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 24421 (SC), 35088807 (OH)

Also ListedHospitalistTaxonomy 208M00000X · License 24421 (SC)

171 ASHLEY AVE, Charleston, SC 29425

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Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1634 · Fax (843) 402-1550

Other Identifiers 1

Medicaid244211SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Elizabeth Hayes 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 ID8921008244

PECOS Enrollment IDI20090909000316

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.

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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.

CAROLYN REED WORD M.D.

Allergy & Immunology