Active NPI
Mackenzie Galli
- Physician Assistant
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2201 Lexington Avenue
Ashland, KY 41101 - Phone
- (606) 408-0911
- NPI assigned
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | KY | Primary |
Addresses
Primary practice location
2201 Lexington Avenue
Ashland, KY 41101
Mailing address
2201 Lexington Avenue
Ashland, KY 41101
Phone (606) 408-0911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230907001227 | KY | Practitioner - Physician Assistant | 6901260173 | Reassigns benefits to 1 organization |
| I20260221000539 | NC | Practitioner - Physician Assistant | 6901260173 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ecep II PA
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 202-3363
Hospital & facility affiliations
- King'S Daughters' Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecep II PA | Current | Accepting new patients | |
| Kentucky Em-I Medical Services PSC | Physician Assistant | Current | Accepting new patients |
| Kentucky Em-I Medical Services PSC | Physician Assistant | Current | Accepting new patients |
| Ecep II PA | Current | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100
Interoperability endpoints
- mgalli88372@direct.kdhealth.us
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Ashland, KY
- NPI 1356848121
KY, Physician Assistant
-
- Emergency Medicine Physician
- Murray, KY
- NPI 1740512615
Physician Assistant
-
- Emergency Medicine Physician
- Wilmington, NC
- NPI 1558755165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1023769155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 LEXINGTON AVENUE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41101",
"telephone_number": "606-408-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 LEXINGTON AVENUE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41101",
"telephone_number": "606-408-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLI",
"first_name": "MACKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.