MACKENZIE LURENE MASHBURN GRILLO NP
NPI 1891205373
Nurse Practitioner - Acute Care in Douglasville, GA
About Mackenzie Lurene Mashburn Grillo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE LURENE MASHBURN GRILLO NP (NPI 1891205373) is an individual acute care provider in Douglasville, Georgia, licensed in Georgia (RN191815) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie Lurene Mashburn Grillo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
DOUGLASVILLE, GA 30134
DOUGLASVILLE, GA 30134
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 Grillo's NPI number?
The NPI number for Mackenzie Grillo is 1891205373. It was assigned to this individual provider in the NPPES registry on October 10, 2017.
Where is Mackenzie Grillo located?
Mackenzie Grillo practices at 8954 Hospital Dr, Douglasville, GA 30134. The listed phone number is (678) 640-5023.
What is Mackenzie Grillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mackenzie Grillo enrolled in Medicare?
Yes. Mackenzie Grillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mackenzie Grillo accept?
Health plans from Alliant Health Plans, Inc. list Mackenzie Grillo 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.
Is Mackenzie Grillo affiliated with any hospitals?
According to CMS data, Mackenzie Grillo is affiliated with Wellstar Kennestone Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Mackenzie Grillo was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mackenzie Lurene Mashburn Grillo, NP · NPI 1891205373
Acute Care physician in Douglasville, Georgia. Individual provider, active in the CMS NPPES registry since October 10, 2017.
## Identity
- **NPI:** 1891205373 (Entity type: Individual)
- **Enumerated:** October 10, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN191815 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 8954 HOSPITAL DR, Douglasville, GA 30134-2272
- **Phone:** (678) 640-5023
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1891205373) · Data from the CMS NPPES public registry.