VICKY MACK NP
NPI 1134592033
Nurse Practitioner - Adult Health in Orchard Hill, GA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Vicky Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Macon, GA 31216
- Reassigned Medicare billing, Georgia enrollment
- 4 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 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.
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.
Which organization bills Medicare for Vicky Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vicky Mack reassigns Medicare benefits to Py Medical Services Of Ga PC (Macon, 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 Vicky Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Vicky Mack, NP · NPI 1134592033
Adult Health physician in Orchard Hill, Georgia. Individual provider, active in the CMS NPPES registry since November 2, 2015.
## Identity
- **NPI:** 1134592033 (Entity type: Individual)
- **Enumerated:** November 2, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN066536 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 694 ETHERIDGE MILL ROAD, Orchard Hill, GA 30266-0072
- **Phone:** (770) 584-0837
## 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:** Py Medical Services Of Ga PC (NPI 1790541647, Macon, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 2, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1134592033) · Data from the CMS NPPES public registry.