Individual provider Active NPI

Christopher John Mackinnon, M.D.

  • Family Medicine Physician
  • Benson, NC
National Provider Identifier
1598774697
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009601390 Issued in NC
Practice address
3333 NC Highway 242 N
Benson, NC 27504-7844
Phone
(919) 894-2011
Fax
(919) 894-7645
NPI assigned
Aug 7, 2006
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9601390 NC
Family Medicine Physician 207Q00000X 009601390 NC Primary

Addresses

Primary practice location

3333 NC Highway 242 N
Benson, NC 27504-7844

Mailing address

3333 NC Highway 242 N
Benson, NC 27504-7844
Phone (919) 894-2011

Other identifiers 1

IdentifierTypeStateIssuer
891008EMedicaidNC

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000915 NC Practitioner - Family PracticePractitioner - General Practice 6103877444 Reassigns benefits to 1 organization
Practice locations: Benson, NC

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benson Area Medical Center, Inc.Group PAC ID 7618872284, 4 clinicians

Practice addresses (Care Compare)

3333 NC Hwy 242 N
Benson, NC 27504-7844
Phone (910) 894-2011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009601390NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Area Medical Center, Inc. Family Medicine CurrentSince Nov 12, 2024 Accepting new patients
Advanced Spine and Pain Center, P.a. Past Accepting new patients
Good Hope Hospital, Inc. Past Accepting new patients

Locations

3333 NC Highway 242 N
Benson, NC 27504
Phone (910) 894-2011

Organizations & group practices 3

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.

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1598774697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NC HIGHWAY 242 N",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047844",
            "telephone_number": "919-894-2011",
            "fax_number": "919-894-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NC HIGHWAY 242 N",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047844",
            "telephone_number": "919-894-2011",
            "fax_number": "919-894-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "9601390",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "009601390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891008E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.