Active NPI
William Carl Mackenzie, PA-C
- Physician Assistant
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9112545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104444700 | Medicaid | FL |
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
Enrollment records 1
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, IncAbility Health Services and Rehabilitation LP
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9112545 | FL | MD | Physician Assistant |
| PA9112545 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | 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
- wmackenzie101814@orlandohealth.medalliesdirect.net
- 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Physician Assistant
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.