MACKENZIE KING NP
NPI 1124430830
Nurse Practitioner - Family in Atlanta, GA
About Mackenzie King Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE KING NP (NPI 1124430830) is an individual family provider in Atlanta, Georgia, licensed in Georgia (151113) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie King Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 241 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ATLANTA, GA 30342
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 Mackenzie King's NPI number?
The NPI number for Mackenzie King is 1124430830. It was assigned to this individual provider in the NPPES registry on May 29, 2014. The provider is also known as Mackenzie Faye Jackson.
Where is Mackenzie King located?
Mackenzie King practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-6323.
What is Mackenzie King's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mackenzie King enrolled in Medicare?
Yes. Mackenzie King 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.
Which organization bills Medicare for Mackenzie King's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie King reassigns Medicare benefits to Northside Radiology Associates LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie King accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mackenzie King 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.
When was this NPI record last updated?
The NPPES record for Mackenzie King was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mackenzie King, NP · NPI 1124430830
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since May 29, 2014.
## Identity
- **NPI:** 1124430830 (Entity type: Individual)
- **Enumerated:** May 29, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 151113 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 JOHNSON FERRY RD, Atlanta, GA 30342-1606
- **Phone:** (404) 851-6323 · **Fax:** (404) 303-3747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northside Radiology Associates LLC (NPI 1013960657, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1124430830) · Data from the CMS NPPES public registry.