Thomas Alexandeer Mackean, FNPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN146046 Issued in GA

Practice address

704 Gil Harbin Industrial Blvd
Valdosta, GA 31601-6513

Phone

(229) 242-9003

Fax

(229) 242-0490

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amelia Express Care, LLCGroup PAC ID 8628389244, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Amelia Express Care, LLC

  • Primary Care Clinic/Center
  • Fernandina Beach, FL
  • NPI 1952701435
  Medicare reassignment Care Compare group NPD
• Airport Clinic Inc

  • Clinic/Center
  • Valdosta, GA
  • NPI 1730354739
  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• James C Odom Jr., MD., PC

  • Family Medicine Physician
  • Nashville, GA
  • NPI 1588818603
  NPD (past)
• Amelia Express Care, LLC

  • Urgent Care Clinic/Center
  • Fernandina Beach, FL
  • NPI 1245611037
  NPD (past)
• Ipn Emergency Physicians of North Florida PA

  • Emergency Medicine Physician
  • Starke, FL
  • NPI 1619287158

  Nurse Practitioner

  NPD (past)
• Live Oak Hma Medical Group, LLC

  • Family Medicine Physician
  • Live Oak, FL
  • NPI 1740509991

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1356318265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316360889",
            "telephone_number": "229-242-9003",
            "fax_number": "229-242-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 GIL HARBIN INDUSTRIAL BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316016513",
            "telephone_number": "229-242-9003",
            "fax_number": "229-242-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEAN",
        "first_name": "THOMAS",
        "middle_name": "ALEXANDEER",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN146046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618616123A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Marie Luttrell, NCC
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• Jeffrey Paul Lynch, PA-C
• Lynze Vickers, LMFT, LLC
• Tana M. Macera, ANP-BC
• Susan Elizabeth Mackey-Burns, N.P.
• Robin Denise Macon
• William Maddox, RPH
• Madear'S Place Personal Care Home LLC
• Magnolia Transit

• Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.