DOMINIC MACK MD
NPI 1508866948
Family Medicine in East Point, GA

Q: What is Dominic Mack's NPI number?

The NPI number for Dominic Mack is 1508866948. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Dominic Mack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Mack was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 28, 2005PECOS Enrolled

1513 EAST CLEVELAND AVE, BUILDING 500, EAST POINT, GA 30344(404) 752-1000(404) 752-1191 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dominic Mack Md NPPES

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

DOMINIC MACK MD (NPI 1508866948) is an individual family medicine provider in East Point, Georgia, licensed in Georgia (031630) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508866948

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDOMINIC MACKCredential: MD

Location Address1513 EAST CLEVELAND AVE, BUILDING 500East Point, GA 30344

Mailing Address720 Westview Dr Sw Ste 100Atlanta, GA 30310-1458 · (404) 756-1400 · Fax (404) 756-5274

Phone(404) 752-1000

Fax(404) 752-1191

Sole ProprietorYes

Enumeration DateJuly 28, 2005

Last NPPES UpdateMay 13, 2019

✔ NPI 1508866948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 031630

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1513 EAST CLEVELAND AVE, East Point, GA 30344

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Other Identifiers 1

Medicaid000433892GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominic Mack Md 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 30344 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HARRY J. HEIMAN MD

Family Medicine

1513 EAST CLEVELAND AVE, BUILDING
EAST POINT, GA 30344

Fulton County (404) 752-1000

DR. GREGORY STRAYHORN MD, PHD

Family Medicine

1513 EAST CLEVELAND AVE, BLDG. 500
EAST POINT, GA 30344

Fulton County (404) 752-1000

DR. ISIOMA CHINWENDU OKWUMABUA M.D.

Family Medicine (Geriatric Medicine)

1513 EAST CLEVELAND AVE, BUILDING 500
EAST POINT, GA 30344

Fulton County (404) 752-1000

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 Dominic Mack's NPI number?

The NPI number for Dominic Mack is 1508866948. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Dominic Mack located?

Dominic Mack practices at 1513 East Cleveland Ave Building 500, East Point, GA 30344. The listed phone number is (404) 752-1000.

What is Dominic Mack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dominic Mack enrolled in Medicare?

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

What insurance does Dominic Mack accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dominic Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominic Mack was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.