MACKENZIE LURENE MASHBURN GRILLO NP
NPI 1891205373
Nurse Practitioner - Acute Care in Douglasville, GA

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134(678) 640-5023 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 and is affiliated with Wellstar Kennestone Regional Medical Center.

NPPES Registry Identity

NPI1891205373
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMACKENZIE LURENE MASHBURN GRILLOCredential: NP
Location Address8954 HOSPITAL DRDouglasville, GA 30134-2272
Mailing Address3316 High Noontide Way NwAcworth, GA 30101-6967 · (678) 640-5023
Sole ProprietorNo
Enumeration DateOctober 10, 2017
NPI 1891205373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN191815
8954 HOSPITAL DR, Douglasville, GA 30134

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.

PECOS PAC ID7810256534
PECOS Enrollment IDI20180125000839
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.

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, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician 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.

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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
8954 HOSPITAL DR, SUITE 120-A
DOUGLASVILLE, GA 30134
Internal Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Nurse Anesthetist, Certified Registered
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Anesthesiologist Assistant
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Obstetrics & Gynecology (Gynecology)
8954 HOSPITAL DR, SUITE 120-A
DOUGLASVILLE, GA 30134
Emergency Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Anesthesiology
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891205373, enumerated as an "individual" on October 10, 2017.

The provider is located at 8954 HOSPITAL DR DOUGLASVILLE, GA 30134 and the phone number is (678) 640-5023.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.

Mackenzie Grillo is affiliated with: WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER.