Individual provider Active NPI

William Carl Mackenzie, PA-C

  • Physician Assistant
  • Winter Garden, FL
National Provider Identifier
1508427337
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9112545 Issued in FL
Practice address
2200 Fowler Grove Blvd Ste 360
Winter Garden, FL 34787-5597
Phone
(844) 407-4070
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL
Surgical Physician Assistant 363AS0400X PA9112545 FL
Physician Assistant 363A00000X 9112545 FL Primary

Addresses

Primary practice location

2200 Fowler Grove Blvd Ste 360
Winter Garden, FL 34787-5597

Mailing address

2200 Fowler Grove Blvd Ste 360
Winter Garden, FL 34787-5597
Phone (844) 407-4070

Other practice location 1

1141 Patterson Ter
Lake Mary, FL 32746-2203
Phone (844) 407-4070

Other practice location 2

25 S Terry Ave
Orlando, FL 32805-1843
Phone (844) 407-4070

Other practice location 3

265 E Rollins St Ste 111000
Orlando, FL 32804-5502
Phone (844) 407-4070

Other practice location 4

1919 E Highway 50
Clermont, FL 34711-1975
Phone (844) 407-4070

Other practice location 5

410 Lionel Way Ste 201
Davenport, FL 33837-7809
Phone (844) 407-4070

Other identifiers 1

IdentifierTypeStateIssuer
104444700MedicaidFL

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115000438 FL Practitioner - Physician Assistant 1557793494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050

2200 Fowler Grove Blvd
Winter Garden, FL 34787-5597

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

410 Lionel Way
Davenport, FL 33837-7809

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9112545FLMDPhysician Assistant
PA9112545FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince May 5, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince May 5, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

1919 E State Road 50
Clermont, FL 34711
Phone (352) 717-3755

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1613 N Mills Ave
Orlando, FL 32803
Phone 40789444741145

7236 Stonerock Cir
Orlando, FL 32819
Phone (407) 354-1202

1335 Sligh Blvd
Ste 200
Orlando, FL 32806
Phone (407) 649-6884

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2200 Fowler Grove Blvd
Ste 360
Winter Garden, FL 34787
Phone (407) 853-5333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: wmackenzie101814@orlandohealth.medalliesdirect.net
  • Direct secure messaging: william.mackenzie.1@26755.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1508427337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 360",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "844-407-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 360",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "844-407-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Patterson Ter",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462203",
            "country_code": "US",
            "telephone_number": "844-407-4070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 S Terry Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328051843",
            "country_code": "US",
            "telephone_number": "844-407-4070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 E Rollins St Ste 111000",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045502",
            "country_code": "US",
            "telephone_number": "844-407-4070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 E Highway 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111975",
            "country_code": "US",
            "telephone_number": "844-407-4070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Lionel Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338377809",
            "country_code": "US",
            "telephone_number": "844-407-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "WILLIAM",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9112545",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104444700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.