Robert Andrew Mackey, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME130192 Issued in FL

Practice address

6716 NW 11TH Place
Ste 200
Gainesville, FL 32605-4215

Phone

(352) 331-9729

Fax

(612) 294-4903

NPI assigned

Jul 6, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, GA2 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 2

Specialty

Diagnostic Radiology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians

Summit Radiology Services P CGroup PAC ID 3577454024, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
• Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
• Higgins General Hospital Hospital, Bremen, GA, CCN 111320

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Summit Imaging Services LLC

  • Diagnostic Radiology Physician
  • Cartersville, GA
  • NPI 1134984982

  FL

  Medicare reassignment Care Compare group NPD
• Summit Radiology Services P C

  • Diagnostic Radiology Physician
  • Cartersville, GA
  • NPI 1174572374

  FL

  Medicare reassignment Care Compare group NPD
• Doctors Imaging Group LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1134179989
  Medicare reassignment NPD
• Doctors Radiology Group of Gainesville LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1194775783
  Medicare reassignment NPD
• North Florida Outpatient Imaging Center LTD

  • Body Imaging Physician
  • Gainesville, FL
  • NPI 1730268632
  Medicare reassignment NPD
• Piedmont Professional Services, LLC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1104088905
  Medicare reassignment
• Tanner Imaging Center

  • Radiology Clinic/Center
  • Carrollton, GA
  • NPI 1154820876
  Medicare reassignment
• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787
  NPD (past)

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

• Fairview Park, Limited Partnership

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation
• Southeast Georgia Health Services, L.L.C.

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation
• Tanner Medical Center, Inc

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation
• TMC/Higgins General Hospital

  • Critical Access Hospital
  • Bremen, GA
  • NPI 1194712083
  Care Compare affiliation
• TMC/Villa Rica Hospital, Inc

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748
  Care Compare affiliation

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1235494170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PLACE",
            "address_2": "STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054215",
            "telephone_number": "352-331-9729",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PLACE",
            "address_2": "STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054215",
            "telephone_number": "352-331-9729",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "38858",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME130192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2TGZ3",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021089600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katara Mack
• Lavago Mack
• Sherika Mack
• Jamie Mackenzie, CRNA
• Kelsie Michelle Mackenzie, PNP-AC
• Geralyn Mackritis, LCSW
• Jennifer Lynn Maclaren, PA
• Heather Macleod, PMHNP / APRN
• Sheryl L Macleod, ARNP
• Michael Macmillan, MD

• Diagnostic Radiology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.