1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

GREGORY DAVID MACK
NPI 1689477291
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 29, 2025PECOS Enrolled
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory David Mack NPPES

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

GREGORY DAVID MACK (NPI 1689477291) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689477291
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGREGORY DAVID MACK
Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0001
Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0001
Phone(216) 444-2200
Sole ProprietorYes
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
✔ NPI 1689477291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 EUCLID AVE # JJ24, Cleveland, OH 44195
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory David Mack 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.

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.

DR. BRANDY LEE SWEENEY DO
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
CHRISTOPHER JAMHOUR MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. RILEY LYNN WILKINSON MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. GUIDO ASCIONE MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
REBECCA LYNN PHILLIPS MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MR. CARL BOULOS M.D.
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
ALISON JIN
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
TATINI MAL-SARKAR
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200

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 Gregory Mack's NPI number?

The NPI number for Gregory Mack is 1689477291. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Gregory Mack located?

Gregory Mack practices at 9500 Euclid Ave # Jj24, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Gregory Mack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gregory Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gregory Mack was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.