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MS. KIMBERLY ALISON MACKEY PA-C
NPI 1376883884
Physician Assistant - Surgical in Atlanta, GA

Active since February 20, 2013PECOS Enrolled
1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-5437 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Alison Mackey Pa-c NPPES

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

MS. KIMBERLY ALISON MACKEY PA-C (NPI 1376883884) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (8042) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376883884
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KIMBERLY ALISON MACKEYCredential: PA-C
Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1060
Mailing Address1405 Clifton Rd NeAtlanta, GA 30322-1060
Phone(404) 785-5437
Sole ProprietorNo
Enumeration DateFebruary 20, 2013
Last NPPES UpdateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1376883884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 8042
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA08315 (TX)
1405 CLIFTON RD NE, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Alison Mackey Pa-c 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.

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.

CARRIE NG MD
Pediatrics (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7141
MR. MARCOS FRANCISCO MILLS MD
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 256-2593
MEAGAN GREEN PNP
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6330
EVAN ORENSTEIN MD
Pediatrics
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6104
CAITLIN QUIGLEY CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
EIMAN ABDULRAHMAN M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7142
CAROL JOHN MD
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
DR. BRANDON W KIRKLAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6210

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 Kimberly Mackey's NPI number?

The NPI number for Kimberly Mackey is 1376883884. It was assigned to this individual provider in the NPPES registry on February 20, 2013.

Where is Kimberly Mackey located?

Kimberly Mackey practices at 1405 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 785-5437.

What is Kimberly Mackey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Mackey enrolled in Medicare?

Yes. Kimberly Mackey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Mackey was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.