Jimmie Lee Mack, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01380 Issued in TX

Practice address

1441 N Beckley Ave
Methodist Dallas Medical Center, Peca
Dallas, TX 75203-1201

Phone

(214) 942-5733

NPI assigned

Apr 25, 2007

Last updated

Feb 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Grapevine Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Grapevine, TX
  • NPI 1770650483

  Physician Assistant

  NPD (past)
• Paris Trail Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Paris, TX
  • NPI 1790115632
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)
• PRMC ER Group Inc

  • Anesthesiology Physician
  • Paris, TX
  • NPI 1366764052
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Texarkana, TX
  • NPI 1558314062
  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Del Rio, TX
  • NPI 1447200696
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1427277730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 LAKEPOINTE AVE",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750886863",
            "telephone_number": "972-412-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "address_2": "METHODIST DALLAS MEDICAL CENTER, PECA",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-942-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JIMMIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Marlene Macias, DDS
• Daniella Maciel
• David Scott Maciver, D.C.
• Ashley Mack
• Darla Jean Mack
• Sonya Mack, PA-C
• Daniel Alexander Mackay II, MD
• Jana Mackay, PSYD
• Brett Mackenzie, DC
• Kimberly Davis Mackenzie, FNP

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.