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MACKENZIE KING NP
NPI 1124430830
Nurse Practitioner - Family in Atlanta, GA

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
87.25/100
CMS Quality Rating
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-6323(404) 303-3747 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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, is affiliated with Northside Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124430830
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMACKENZIE KINGCredential: NP
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606
Mailing Address5605 Glenridge Dr Ste 325Atlanta, GA 30342-1365 · (678) 553-7783 · Fax (678) 553-7793
Phone(404) 851-6323
Fax(404) 303-3747
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 29, 2014
Last NPPES UpdateMay 6, 2019
✔ NPI 1124430830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 151113
1000 JOHNSON FERRY RD, Atlanta, GA 30342
Open in Google Maps ↗

Other Names 1

Former Name (1)Mackenzie Faye Jackson

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

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.

PECOS PAC ID1850518754
PECOS Enrollment IDI20140818001424
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.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

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.

SHELLEY S STATON PAAA
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 645-9181
TYREL FOSTER MD
Nuclear Medicine
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-6323
KEVIN DAVIS
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NICK TAHER M.D.
Hospitalist
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NORTHSIDE RADIOLOGY ASSOCIATES LLC
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 662-2438
TAYEB AHMAD RAHIM
Radiology (Neuroradiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (678) 553-7784
KATHRYN LYNN DEAN NP
Nurse Practitioner
1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Fulton County (404) 851-6500
VICKI DO
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 530-6646

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.

Is Mackenzie King affiliated with any hospitals?

According to CMS data, Mackenzie King is affiliated with Northside Hospital.

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.