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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANDREA MACK
NPI 1528981693
Case Manager/Care Coordinator in Jackson, MS

Active since August 04, 2026
4780 I-55 N FRONTAGE RD, STE 105, JACKSON, MS 39211(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Mack NPPES

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

ANDREA MACK (NPI 1528981693) is an individual case manager/care coordinator provider in Jackson, Mississippi and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1528981693
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameANDREA MACK
Location Address4780 I-55 N FRONTAGE RD, STE 105Jackson, MS 39211
Mailing Address4780 I-55 N Frontage Rd, Ste 105Jackson, MS 39211 · (601) 956-4816 · Fax (601) 956-4817
Phone(601) 956-4816
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateAugust 4, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1528981693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4780 I-55 N FRONTAGE RD, STE 105, Jackson, MS 39211
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Other Providers at the Same Location NPPES 5

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

TANIELLE WOODS
Case Manager/Care Coordinator
4780 I-55 N FRONTAGE RD, STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
MALAYSHA ERVIN
Case Manager/Care Coordinator
4780 I-55 N FRONTAGE RD, STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
ERICA WILLIAMS
Counselor (Mental Health)
4780 I-55 N FRONTAGE RD, STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
TASHERA EWINGS
Case Manager/Care Coordinator
4780 I-55 N FRONTAGE RD, STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816
BEONKA WATKINS
Case Manager/Care Coordinator
4780 I-55 N FRONTAGE RD, STE 105
JACKSON, MS 39211
Hinds County (601) 956-4816

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 Andrea Mack's NPI number?

The NPI number for Andrea Mack is 1528981693. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Andrea Mack located?

Andrea Mack practices at 4780 I-55 N Frontage Rd, Ste 105, Jackson, MS 39211. The listed phone number is (601) 956-4816.

What is Andrea Mack's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Andrea Mack was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.