Individual provider Active NPI

Steven Lynn Mackey, M.D.

  • Dermatology Physician
  • Alexander City, AL
National Provider Identifier
1093725517
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14427 Issued in AL
Practice address
125 Alison Dr
Suite 8
Alexander City, AL 35010-4469
Phone
(256) 409-2159
Fax
(256) 409-2178
NPI assigned
Aug 8, 2006
Last updated
May 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 14427 AL Primary

Addresses

Primary practice location

125 Alison Dr
Suite 8
Alexander City, AL 35010-4469

Mailing address

125 Alison Drive
Suite 8
Alexander City, AL 35010-3393
Phone (256) 409-2159

Other identifiers 13

IdentifierTypeStateIssuer
070011988OtherALRAILROAD MEDICARE
000038661MedicaidAL
51077824OtherALBLUE CROSS
009967895MedicaidAL
51099938OtherALBLUE CROSS
0005960521OtherALAETNA
009944190MedicaidAL
0731200138OtherALCIGNA
009944180MedicaidAL
009944200MedicaidAL
51038661OtherALBLUE CROSS
51077823OtherALBLUE CROSS
51523073OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041211000116 AL Practitioner - Dermatology 8325005358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Alabama College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 Alison Dr
Suite 8
Alexander City, AL 35010-4410
Phone (256) 409-2159

1722 Pine St
Suite 400
Montgomery, AL 36106-1159
Phone (256) 409-2159

645 McQueen Smith Rd
Suite 102
Prattville, AL 36067-3619
Phone (256) 409-2159

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as individual
Quality
66.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2254
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14427ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander City Dermatology Dermatology CurrentSince Mar 31, 1997 Accepting new patients
Greenville Footcare LLC Past Accepting new patients

Locations

125 Alison Dr
Ste 8
Alexander City, AL 35010
Phone (256) 234-2644

1722 Pine St
Ste 400
Montgomery, AL 36106
Phone (205) 453-4195

645 McQueen Smith Rd N
Ste 102
Prattville, AL 36066
Phone (205) 664-4009

Interoperability endpoints

  • Direct secure messaging: steven.mackey@alexderm.direct.medconnect-inc.com

Organizations & group practices 2

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.

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1093725517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALISON DRIVE",
            "address_2": "SUITE 8",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-409-2159",
            "fax_number": "256-409-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALISON DR",
            "address_2": "SUITE 8",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104469",
            "telephone_number": "256-409-2159",
            "fax_number": "256-409-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "STEVEN",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "14427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070011988",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038661",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51077824",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009967895",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51099938",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005960521",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009944190",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0731200138",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009944180",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009944200",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51038661",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51077823",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51523073",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.