1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile

EDWARD C. MACK M.D.
NPI 1245338110
Internal Medicine in Atlanta, GA

Active since September 21, 2006PECOS Enrolled
315 BOULEVARD NE, SUITE 444, ATLANTA, GA 30312(404) 420-0116(404) 420-0117 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward C. Mack M.d. NPPES

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

EDWARD C. MACK M.D. (NPI 1245338110) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (021754) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245338110
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDWARD C. MACKCredential: M.D.
Location Address315 BOULEVARD NE, SUITE 444Atlanta, GA 30312-1200
Mailing AddressP.o. Box 370569Decatur, GA 30037 · (678) 492-5985 · Fax (404) 420-0117
Phone(404) 420-0116
Fax(404) 420-0117
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 7, 2011
✔ NPI 1245338110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 021754
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
315 BOULEVARD NE, Atlanta, GA 30312
Open in Google Maps ↗

Other Identifiers 4

Medicare UPIND40516GA
Medicaid000203002DGA
Other5729084GA · Aetna Provider Number
Medicare ID-Type Unspecified11BDBCVGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward C. Mack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30312 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims14 services$2.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHANNON LEIGH DAVIS RD, LD
Dietitian, Registered
315 BOULEVARD NE, SUITE 332
ATLANTA, GA 30312
Fulton County (404) 881-8020
PRIMARY CARE SPECIALISTS
Internal Medicine
315 BOULEVARD NE, SUITE 310
ATLANTA, GA 30312
Fulton County (678) 705-2355
ATLANTA PATHOLOGY PA
Pathology (Anatomic Pathology)
315 BOULEVARD NE, SUITE 240
ATLANTA, GA 30312
Fulton County (404) 522-0414
DEBORAH HAMMOND-WICKFALL, M.D., P.C.
Internal Medicine
315 BOULEVARD NE, SUITE 520
ATLANTA, GA 30312
Fulton County (404) 265-6322
VEENA MALEPATI M.D
Internal Medicine
315 BOULEVARD NE, ATLANTA MEDICAL CENTER
ATLANTA, GA 30312
Fulton County (404) 265-3010
MS. YOLETTE LAFONTANT NP
Nurse Practitioner
315 BOULEVARD NE
ATLANTA, GA 30312
Fulton County (770) 557-8970
LEROY A WILSON M D P C
Clinic/Center
315 BOULEVARD NE, SUITE 316
ATLANTA, GA 30312
Fulton County (404) 659-1234
COURTNEY HESTER
Physician Assistant (Medical)
315 BOULEVARD NE, SUITE 500
ATLANTA, GA 30312
Fulton County (404) 523-1313

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 Edward Mack's NPI number?

The NPI number for Edward Mack is 1245338110. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Edward Mack located?

Edward Mack practices at 315 Boulevard NE Suite 444, Atlanta, GA 30312. The listed phone number is (404) 420-0116.

What is Edward Mack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edward Mack enrolled in Medicare?

Yes. Edward Mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Mack was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.