NPIMap

Individual provider Active NPI

Leslie Lauren Mackey, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1619928355
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2988 Issued in FL
Practice address
601 E Rollins Ave
Orlando, FL 32803-1248
Phone
(407) 303-6611
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2988 FL Primary

Addresses

Primary practice location

601 E Rollins Ave
Orlando, FL 32803-1248

Mailing address

PO Box 950927
Lake Mary, FL 32795-0927
Phone (407) 328-0825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2988FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Schreiber, MD Past Accepting new patients
Mid-Florida Urological Associates PA Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Florida Surgical Group, P.a. Past Accepting new patients
Baker Heard Osteen & Davenport MD PA Past Accepting new patients
Thomas B Blake III MD PA Past Accepting new patients
William M Malone PA-C LLC Surgical Past Accepting new patients
Altamonte Womens Center PA PastSince Jan 15, 2004 Accepting new patients
Thomas F Winters Jr MD PA Past Accepting new patients
Colon & Rectal Specialists P a Past Accepting new patients
T. Terry Chutinan MD PA PastSince Jan 1, 1999 Accepting new patients
Vascular and Thoracic Surgery of Central Florida PastSince Jan 1, 1999 Accepting new patients
Citrus Surgical Group PA PastSince Jan 1, 1996 Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619928355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950927",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327950927",
            "telephone_number": "407-328-0825",
            "fax_number": "407-322-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "LESLIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.