MR. ROBERT GARY MACK II BACHELOR
NPI 1619018793
Contractor in Greenwood, AR

Active since February 09, 2007
2712 EDGEWATER DRIVE, GREENWOOD, AR 72936(479) 414-1190 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Robert Gary Mack Ii Bachelor NPPES

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

MR. ROBERT GARY MACK II BACHELOR (NPI 1619018793) is an individual contractor provider in Greenwood, Arkansas, licensed in Arkansas (1002664) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1619018793
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMR. ROBERT GARY MACK IICredential: BACHELOR
Location Address2712 EDGEWATER DRIVEGreenwood, AR 72936
Mailing Address2712 Edgewater DriveGreenwood, AR 72936 · (479) 414-1190
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1619018793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in AR · 1002664
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
2712 EDGEWATER DRIVE, Greenwood, AR 72936

Accepted Insurance

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 Robert Mack's NPI number?

The NPI number for Robert Mack is 1619018793. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Robert Mack located?

Robert Mack practices at 2712 Edgewater Drive, Greenwood, AR 72936. The listed phone number is (479) 414-1190.

What is Robert Mack's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

What insurance does Robert Mack accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Robert 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 Robert Mack was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.