Individual provider Active NPI

Mackenzie Armstrong, PA-C

  • Physician Assistant
  • Corryton, TN
National Provider Identifier
1225612385
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4555 Issued in TN
Practice address
7234 Tazewell Pike
Corryton, TN 37721
Phone
(865) 213-7132
NPI assigned
May 5, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4555 TN Primary

Addresses

Primary practice location

7234 Tazewell Pike
Corryton, TN 37721

Mailing address

7234 Tazewell Pike
Corryton, TN 37721
Phone (865) 213-7132

Other practice location 1

1958 Il Highway 14
Crossville, IL 62827-2403
Phone (618) 599-7590

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address armstrongm@my.south.edu
Direct Messaging Address mackenzie.armstrong@fastpacehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210606000004 TN Practitioner - Physician Assistant 6608275094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Center for Dermatology and Plastic Surgery PLGroup PAC ID 9436406717, 3 clinicians

Practice addresses (Care Compare)

4319 Papermill Dr
Knoxville, TN 37909-2069
Phone (865) 470-4127

9430 Park W Blvd
Suite 240
Knoxville, TN 37923-4204
Phone (865) 470-4127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 18, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 18, 2021 Accepting new patients
East Tennessee Plastic Surgery,P.C. PastSince May 31, 2016 Accepting new patients

Locations

7234 Tazewell Pike
Corryton, TN 37721
Phone (865) 213-7132

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1225612385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "37721",
            "telephone_number": "865-213-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7234 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "37721",
            "telephone_number": "865-213-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 Il Highway 14",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "IL",
            "postal_code": "628272403",
            "country_code": "US",
            "telephone_number": "618-599-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-07-16",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "armstrongm@my.south.edu",
            "affiliation": "N",
            "address_1": "1958 Il Highway 14",
            "city": "Crossville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628272403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie.armstrong@fastpacehealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7234 Tazewell Pike",
            "city": "Corryton",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corryton, TN

Sources for this page

Verify at the official NPI Registry.