Kerry Keldon Mackey Sr.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001009499 Issued in NC

Practice address

4700 Falls of Neuse Rd Ste 355
Raleigh, NC 27609-6275

Phone

(919) 876-3130

Fax

(888) 438-1446

NPI assigned

Oct 10, 2019

Last updated

May 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advance Community Health IncGroup PAC ID 3577471697, shared by 8 NPIs, 32 clinicians

Moore Medical Group IncGroup PAC ID 9638354889, 18 clinicians

Mindpath Care Centers North Carolina PLLCGroup PAC ID 4688655517, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Physician Assistant

State licenses

Practice roles

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.

• Mindpath Care Centers, North Carolina, PLLC

  dba Mindpath Health, a practice of, MindPath Care Centers, North Carolina,

  • Psychiatry Physician
  • Durham, NC
  • NPI 1508803214
  Medicare reassignment Care Compare group
• Moore Medical Group Inc

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1578724183

  NC

  Medicare reassignment Care Compare group
• Silver Linings Home Health Solutions LLC

  dba At Home Eldercare

  • In Home Supportive Care Agency
  • Middlesex, NC
  • NPI 1578361416
  NPD Authorized official
• Doctors Urgent Care PLLC

  dba Carolina Urgent Care

  • Urgent Care Clinic/Center
  • Chapel Hill, NC
  • NPI 1003484734
  Medicare reassignment
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Apex, NC
  • NPI 1598751463
  NPD (past)

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

• Wakemed

  dba WakeMed Mental Health & Well-Being Hospital WakeBrook

  • Psychiatric Hospital Unit
  • Raleigh, NC
  • NPI 1780446302
  Care Compare affiliation
• Wakemed

  dba WakeMed Raleigh Campus

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1972579837
  Care Compare affiliation

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1417599580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "919-876-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 FALLS OF NEUSE RD STE 355",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096275",
            "telephone_number": "919-876-3130",
            "fax_number": "888-438-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-833-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "KERRY",
        "middle_name": "KELDON",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001009499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emili Rachele Mack, MD
• Laila Amani Mack
• Shineka Latoya Mack, PMHNP
• Sydney Maitland Mack
• Carla Genevieve Mackenzie, LCAS, LCSW
• Tyqwisha Mackins, OTL
• Miriam Macklin
• Eliza Macknight, LCMHCA
• Nancy M. Mackowsky, OD
• Lynn Fitzgerald Macksey, CRNA

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.