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JOHN T MACKAY MD PA
NPI 1922257013
Nurse Practitioner in Tallahassee, FL

Active since September 12, 2008CLIA 10D0963647 · Waiver
2412 W PLAZA DR, TALLAHASSEE, FL 32308(850) 877-8171(850) 877-9791 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John T Mackay Md Pa NPPES

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

JOHN T MACKAY MD PA (NPI 1922257013) is a healthcare organization registered as a nurse practitioner in Tallahassee, Florida and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Kym E Chan, Manager, as its authorized official.

NPPES Registry Identity

NPI1922257013
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameJOHN T MACKAY MD PA
Location Address2412 W PLAZA DRTallahassee, FL 32308-5325
Mailing Address2412 W Plaza DrTallahassee, FL 32308-5325 · (850) 877-8171 · Fax (850) 877-9791
Phone(850) 877-8171
Fax(850) 877-9791
Organization SubpartNo
Authorized OfficialKym E ChanManager · (850) 877-8171
Enumeration DateSeptember 12, 2008
✔ NPI 1922257013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP2809922
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2412 W PLAZA DR, Tallahassee, FL 32308
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0963647

John T Mackay MD · Tallahassee, FL
Active · expires Aug 3, 2027
CLIA Number10D0963647
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorJohn T. Mackay MD
Laboratory Phone(850) 877-8171
Laboratory LocationJohn T Mackay MD1216 N Monroe St Ste 3, Tallahassee, FL 32303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JOHN TAYLOR MACKAY, M.D. PA INC
Family Medicine
2412 W PLAZA DR
TALLAHASSEE, FL 32308
Leon County (850) 877-8171
MRS. KIMBERLY ANN GRAY ARNP-C
Nurse Practitioner (Family)
2412 W PLAZA DR
TALLAHASSEE, FL 32308
Leon County (850) 877-8171
JOHN TAYLOR MACKAY MD
Family Medicine
2412 W PLAZA DR
TALLAHASSEE, FL 32308
Leon County (850) 877-8171
DR. TERENCE P MCCOY MD
Family Medicine
2412 W PLAZA DR
TALLAHASSEE, FL 32308
Leon County (850) 877-8171

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 John T Mackay MD PA's NPI number?

The NPI number for John T Mackay MD PA is 1922257013. It was assigned to this organization in the NPPES registry on September 12, 2008.

Where is John T Mackay MD PA located?

John T Mackay MD PA is located at 2412 W Plaza Dr, Tallahassee, FL 32308. The listed phone number is (850) 877-8171.

What is John T Mackay MD PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does John T Mackay MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0963647) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John T Mackay MD PA was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.