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MACKENZIE ERIN MANLEY PAC
NPI 1730731266
Physician Assistant in Conyers, GA

Active since July 15, 2019PECOS Enrolled
1269 WELLBROOK CIR NE, CONYERS, GA 30012(770) 922-0505(678) 625-5137 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Aug 19, 2024, Jul 15, 2019 (3 updates tracked since 2019).

About Mackenzie Erin Manley Pac NPPES

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

MACKENZIE ERIN MANLEY PAC (NPI 1730731266) is an individual physician assistant in Conyers, Georgia, licensed in Georgia (13826) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730731266
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE ERIN MANLEYCredential: PAC
Location Address1269 WELLBROOK CIR NEConyers, GA 30012-3873
Mailing Address1269 Wellbrook Cir NeConyers, GA 30012-3873 · (770) 922-0505 · Fax (678) 625-5137
Phone(770) 922-0505
Fax(678) 625-5137
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2019
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1730731266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 13826
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1269 WELLBROOK CIR NE, Conyers, GA 30012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Erin Manley Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284100660
PECOS Enrollment IDI20260414004264
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

MAK ANESTHESIA WESTSIDE LLC
Anesthesiology
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505
DR. ABRAHAM STEVEN MCINTOSH M.D.
Internal Medicine (Gastroenterology)
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505
ROSIRMA CORNEY PA-C
Physician Assistant
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505
WELLBROOK ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505
EAST ATLANTA ENDOSCOPY CENTERS, LLC
Clinic/Center (Ambulatory Surgical)
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505
DR. ERIC D. DAVIS M.D.
Internal Medicine (Gastroenterology)
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505
MRS. CAROLYN MONIQUE HUBBARD FNP-BC
Nurse Practitioner (Family)
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505
ABIGAIL PAULINE WOODRUFF PAC
Physician Assistant
1269 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-0505

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 Mackenzie Manley's NPI number?

The NPI number for Mackenzie Manley is 1730731266. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Mackenzie Manley located?

Mackenzie Manley practices at 1269 Wellbrook Cir NE, Conyers, GA 30012. The listed phone number is (770) 922-0505.

What is Mackenzie Manley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mackenzie Manley enrolled in Medicare?

Yes. Mackenzie Manley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mackenzie Manley was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.