Crystal Monique Mackie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1700847969 Issued in NC

Practice address

5800 Old Pineville Rd Ste 101
Charlotte, NC 28217-4106

Phone

(704) 393-7720

Fax

(704) 398-3173

NPI assigned

May 27, 2009

Last updated

Mar 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Crystal Monique Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: crystal.mackie.1@12412.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The C. W. Williams Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1447417670
  NPD (past)
• The C.W. Williams Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1558308080
  NPD (past)
• Unity Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1477692812
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1053546507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OLD PINEVILLE RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174106",
            "telephone_number": "704-393-7720",
            "fax_number": "704-398-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OLD PINEVILLE RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174106",
            "telephone_number": "704-393-7720",
            "fax_number": "704-398-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Wilkinson Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282085631",
            "country_code": "US",
            "telephone_number": "704-393-7720",
            "fax_number": "704-405-9509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Clanton Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282171373",
            "country_code": "US",
            "telephone_number": "704-393-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "CRYSTAL",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "1700847969",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD040888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DAVIS",
            "middle_name": "MONIQUE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Ellen Mackert, CCC-SLP
• Collin David Mackey, DO
• Davyoneda McDaniel Mackey, LPTA
• James Guy Mackey, CH, LPC
• Shenera Mackey
• Heather K Mackie, RD
• Lindsay C Mackinem
• Leslie Jeannette Macklin, D.C.
• Robert L Macklin
• Dillon James Macky, MD

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.