Charles W Mackett III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME107676 Issued in FL

Practice address

1400 27TH St
Vero Beach, FL 32960-0303

Phone

(772) 257-8224

Fax

(772) 252-3245

NPI assigned

Feb 15, 2006

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

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

Specialty

Geriatric MedicineAlso: Family Practice

Education

State University of New York at Stony Brook, School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Coast Community Health IncGroup PAC ID 4082625827, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

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.

• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Fellsmere, FL
  • NPI 1891740916
  Medicare reassignment Care Compare group NPD
• Indian River Health Services Inc

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment NPD
• Indian River Health Services Inc

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1720333271
  NPD
• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1609686542
  NPD
• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1912458613
  NPD
• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)

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

• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1366416232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD STE B210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607113",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 27TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600303",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKETT",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD425999",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101235908",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME107676",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Mace, APRN
• Ever Alfredo Maceo Lam, MD
• Andrea Machado, FNP-BC
• Mary K Mackanos
• Gregory Davis Mackay, M.D.
• Brittany Macwilliam, FNP
• Iris Elaine Madison, LCSW, MSW
• Adilene Magana
• Nicholas Anthony Maggio, DO
• Brianna Parker Maguire, APRN

• Family Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.