Mack Drake, DO

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

0102206152 Issued in VA

Practice address

7101 Jahnke Rd
Richmond, VA 23225-4017

Phone

(706) 863-9595

Fax

(706) 868-8375

NPI assigned

Apr 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, GA, VA3 enrollments

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 3

Specialty

General SurgeryAlso: Critical Care (Intensivists)

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burn and Reconstructive Centers of Virginia PLLCGroup PAC ID 4688086747, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• James River Home Health Agency Home health agency, Richmond, VA, CCN 497706
• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Burn and Reconstructive Centers of Virginia, PLLC

  • Specialist
  • Richmond, VA
  • NPI 1194346734
  Medicare reassignment Care Compare group NPD
• Joseph M Still Burn Centers, Inc

  • Specialist
  • Augusta, GA
  • NPI 1215904909
  Medicare reassignment NPD
• Kentucky Medical Services Foundation, Inc

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1326091448

  Surgery

  Medicare reassignment NPD
• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381

  Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chippenham & Johnston-Willis Hospitals Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• James River Home Health Care, LLC

  • Home Health Agency
  • North Chesterfield, VA
  • NPI 1790125987
  Care Compare affiliation

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1114160629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143548",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MACK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102206152",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0102206152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Dragan, M.S., CCC-SLP
• John P Drago, MD
• Dragon Star, LLC
• Allyson England Drake, M.ED, CT
• Amy Lynne Drake, CRNA
• Christiana Samaria India Draper, MD, PHD
• Mollie Alexander Draudt, FNP:BC
• Shaketa N L Draughn, LCSW
• Natalie Drawdy, NP
• Sherry Dray-Hoover, LCSW

• Surgical Critical Care Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Surgical Critical Care Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.