1. Home
  2. Directory
  3. NPI Profile

VICKY MACK NP
NPI 1134592033
Nurse Practitioner - Adult Health in Orchard Hill, GA

Active since November 02, 2015PECOS EnrolledAccepts Medicare Assignment
694 ETHERIDGE MILL ROAD, ORCHARD HILL, GA 30266(770) 584-0837 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vicky Mack Np NPPES

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

VICKY MACK NP (NPI 1134592033) is an individual adult health provider in Orchard Hill, Georgia, licensed in Georgia (RN066536) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134592033
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVICKY MACKCredential: NP
Location Address694 ETHERIDGE MILL ROADOrchard Hill, GA 30266-0072
Mailing AddressPo Box 72Orchard Hill, GA 30266-0072 · (770) 584-0837
Phone(770) 584-0837
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 2, 2015
✔ NPI 1134592033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN066536
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN066536 (GA)
694 ETHERIDGE MILL ROAD, Orchard Hill, GA 30266
Open in Google Maps ↗

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

Vicky Mack 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 ID4880988237
PECOS Enrollment IDI20160808000571
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30266 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Vicky Mack's NPI number?

The NPI number for Vicky Mack is 1134592033. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Vicky Mack located?

Vicky Mack practices at 694 Etheridge Mill Road, Orchard Hill, GA 30266. The listed phone number is (770) 584-0837.

What is Vicky Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Vicky Mack enrolled in Medicare?

Yes. Vicky 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.

When was this NPI record last updated?

The NPPES record for Vicky Mack was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.