MS. JIMMIE LEE MACK PA-C
NPI 1427277730
Physician Assistant in Dallas, TX

Q: What is Jimmie Mack's NPI number?

The NPI number for Jimmie Mack is 1427277730. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Jimmie Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jimmie Mack was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 25, 2007

1441 N BECKLEY AVE, METHODIST DALLAS MEDICAL CENTER, PECA, DALLAS, TX 75203(214) 942-5733 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ms. Jimmie Lee Mack Pa-c NPPES

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

MS. JIMMIE LEE MACK PA-C (NPI 1427277730) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA01380) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1427277730

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JIMMIE LEE MACKCredential: PA-C

Location Address1441 N BECKLEY AVE, METHODIST DALLAS MEDICAL CENTER, PECADallas, TX 75203-1201

Mailing Address8702 Lakepointe AveRowlett, TX 75088-6863 · (972) 412-8286

Phone(214) 942-5733

Sole ProprietorYes

Enumeration DateApril 25, 2007

Last NPPES UpdateFebruary 11, 2011

✔ NPI 1427277730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA01380

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1441 N BECKLEY AVE, Dallas, TX 75203

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Other Identifiers 3

Medicare PINTXB107845TX

Medicare PINTXB107843TX

Medicare PINTXB107840TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Insurance Company.Insurance ›

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.

WILLIAM COOK LANGMADE MD

Internal Medicine