SEAN THOMAS MACK MD
NPI 1376284596
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 03, 2022PECOS Enrolled
1364 CLIFTON RD NE, ATLANTA, GA 30322(419) 980-5062 Get Directions Write a Review

NPPES record last updated: April 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About SEAN MACK

This page provides the complete NPI Profile along with additional information for Sean Mack, a primary care provider established in Atlanta, Georgia with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1376284596 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1376284596 Verify this NPI
Provider Name
SEAN THOMAS MACK MD
Gender
Male
Entity Type
Individual
Location Address
1364 CLIFTON RD NE ATLANTA, GA 30322
Location Phone
(419) 980-5062
Mailing Address
16965 COUNTY ROAD Y NEW BAVARIA, OH 43548
Mailing Phone
(419) 980-5062
Is Sole Proprietor?
No
Enumeration Date
04-03-2022
Last Update Date
04-03-2022
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A primary care provider (PCP) like Sean Mack sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Sean Mack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for SEAN THOMAS MACK MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE, DEPARTMENT OF PHARMACY EG22
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE, STE B3
ATLANTA, GA 30322
Surgery
1364 CLIFTON RD NE, SUITE A3300
ATLANTA, GA 30322
Nurse Practitioner (Family)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pathology (Clinical Pathology/Laboratory Medicine)
1364 CLIFTON RD NE, ROOM F145
ATLANTA, GA 30322
Pathology (Anatomic Pathology)
1364 CLIFTON RD NE, RM. G144
ATLANTA, GA 30322
Pathology (Anatomic Pathology & Clinical Pathology)
1364 CLIFTON RD NE, ROOM H184
ATLANTA, GA 30322
Pathology (Anatomic Pathology & Clinical Pathology)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pathology (Anatomic Pathology & Clinical Pathology)
1364 CLIFTON RD NE, ROOM H171
ATLANTA, GA 30322
Pathology (Clinical Pathology/Laboratory Medicine)
1364 CLIFTON RD NE, ROOM F147A
ATLANTA, GA 30322
Radiology (Neuroradiology)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Practitioner (Family)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Registered Nurse (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE, 3B ANESTHESIOLOGY
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Neuroradiology)
1364 CLIFTON RD NE, ROOM B-115
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE, 3B ANESTHESIOLOGY
ATLANTA, GA 30322
Anesthesiology
1364 CLIFTON RD NE
ATLANTA, GA 30322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376284596, enumerated as an "individual" on April 03, 2022.

The provider is located at 1364 CLIFTON RD NE ATLANTA, GA 30322 and the phone number is (419) 980-5062.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.