ADVANCED DESERT DERMATOLOGY
NPI 1396959417
Dermatology - Procedural Dermatology in Peoria, AZ

Q: What is Vernon T Mackey PC's NPI number?

The NPI number for Vernon T Mackey PC is 1396959417. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Advanced Desert Dermatology.

Q: What is Vernon T Mackey PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since May 09, 2007

9191 W THUNDERBIRD RD, SUITE D-101, PEORIA, AZ 85381(623) 977-6700(623) 977-6771 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Advanced Desert Dermatology NPPES

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

ADVANCED DESERT DERMATOLOGY (NPI 1396959417) is a healthcare organization registered as a procedural dermatology in Peoria, Arizona and active in the NPI registry since May 2007. The organization lists Vernon T Mackey, Physician, as its authorized official.

NPPES Registry Identity

NPI1396959417

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameVERNON T MACKEY PC

Location Address9191 W THUNDERBIRD RD, SUITE D-101Peoria, AZ 85381-4270

Mailing Address9191 W Thunderbird Rd, Suite D-101Peoria, AZ 85381-4270 · (623) 977-6700 · Fax (623) 977-6771

Phone(623) 977-6700

Fax(623) 977-6771

Organization SubpartNo

Authorized OfficialVernon T MackeyPhysician · (623) 977-6700

Enumeration DateMay 9, 2007

Last NPPES UpdateSeptember 15, 2023

NPPES CertifiedSeptember 15, 2023

✔ NPI 1396959417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in AZ · 3535

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

9191 W THUNDERBIRD RD, Peoria, AZ 85381

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Other Names 1

Doing Business AsAdvanced Desert Dermatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Desert Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Desert Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brandon Mackey, D.O.

Dermatology

NPI 1477081149

9191 W THUNDERBIRD RD STE D101
Peoria, AZ 85381

(623) 977-6700

✔ PECOS✔ Accepts MedicareSame address

Vernon Mackey, D.O.

Dermatology

NPI 1821046772

9191 W THUNDERBIRD RD D-101
Peoria, AZ 85381

(623) 977-6700

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vernon T Mackey PC's NPI number?

The NPI number for Vernon T Mackey PC is 1396959417. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Advanced Desert Dermatology.

Where is Vernon T Mackey PC located?

Vernon T Mackey PC is located at 9191 W Thunderbird Rd Suite D-101, Peoria, AZ 85381. The listed phone number is (623) 977-6700.

What is Vernon T Mackey PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Vernon T Mackey PC enrolled in Medicare?

Yes. Vernon T Mackey PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vernon T Mackey PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Vernon T Mackey PC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vernon T Mackey PC was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.