1. Home
  2. Directory
  3. Virginia
  4. Fishersville
  5. Physician Assistant
  6. NPI Profile

JOHN EDWARD MACK PA
NPI 1619918968
Physician Assistant - Surgical in Fishersville, VA

Active since June 09, 2006
70 MEDICAL CENTER CIR STE 213, FISHERSVILLE, VA 22939(540) 245-7705(540) 245-7710 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2025, Jun 22, 2023, Jun 2, 2021 and 1 more (4 updates tracked since 2017).

About John Edward Mack Pa NPPES

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

JOHN EDWARD MACK PA (NPI 1619918968) is an individual surgical provider in Fishersville, Virginia, licensed in Virginia (0110006808) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619918968
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN EDWARD MACKCredential: PA
Location Address70 MEDICAL CENTER CIR STE 213Fishersville, VA 22939-2273
Mailing Address1301 Ladd RdWaynesboro, VA 22980-7426 · (914) 474-6025
Phone(540) 245-7705
Fax(540) 245-7710
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 17, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1619918968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in VA · 0110006808✔ Licensed in NY · 006239
Also ListedPhysician AssistantTaxonomy 363A00000X · License 006239 (NY)
70 MEDICAL CENTER CIR STE 213, Fishersville, VA 22939
Open in Google Maps ↗

Other Identifiers 1

Medicaid01908396NY

Other Providers at the Same Location NPPES 8

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

CHELSEA MARIE HUTCHINSON M.D.
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705
JAKOB KINSEY PA
Physician Assistant
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705
KRISTIN C. TURZA M.D.
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705
AMANI D POLITANO MD
Surgery (Vascular Surgery)
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705
MICHAEL DAVID FLAM DO
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705
CHRISTOPHER J. PORTER M.D.
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705
MARK ANDRES M.D.
Surgery
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705
HANNAH ELIZABETH STEPHENSON PA-C
Physician Assistant
70 MEDICAL CENTER CIR STE 213
FISHERSVILLE, VA 22939
Augusta County (540) 245-7705

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 John Mack's NPI number?

The NPI number for John Mack is 1619918968. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is John Mack located?

John Mack practices at 70 Medical Center Cir Ste 213, Fishersville, VA 22939. The listed phone number is (540) 245-7705.

What is John Mack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for John Mack was last updated on February 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.