DR. JESSICA MACK-GILL MD, MS
NPI 1700722329
Student in an Organized Health Care Education/Training Program in Kingsport, TN

Q: What is Jessica Mack-gill's NPI number?

The NPI number for Jessica Mack-gill is 1700722329. It was assigned to this individual provider in the NPPES registry on April 27, 2026. The provider is also known as Jessica Mack.

Q: What is Jessica Mack-gill's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Mack-gill was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2026PECOS Enrolled

102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jessica Mack-gill Md, Ms NPPES

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

DR. JESSICA MACK-GILL MD, MS (NPI 1700722329) is an individual student in an organized health care education/training program in Kingsport, Tennessee and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700722329

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JESSICA MACK-GILLCredential: MD, MS

Location Address102 E RAVINE RDKingsport, TN 37660-3814

Mailing Address102 E Ravine RdKingsport, TN 37660-3814 · (423) 245-9600

Phone(423) 245-9600

Sole ProprietorNo

Enumeration DateApril 27, 2026

NPPES CertifiedApril 27, 2026

✔ NPI 1700722329 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.

102 E RAVINE RD, Kingsport, TN 37660

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Other Names 1

Former Name (1)Jessica Mack

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Mack-gill Md, Ms 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.

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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.

ABRAHAM LESNIEWSKI MD

Student in an Organized Health Care Education/Training Program