Mackillop Mind 2 P.L.L.C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MACKILLOP MIND 2 P.L.L.C

Practice address

8004 Cotton Rose CT
Wilmington, NC 28412-1402

Phone

(631) 987-3011

NPI assigned

Apr 17, 2026

Organization subpart

No

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

Authorized official

Name

Yvonne Mackillop, PA-CNPI 1154615052

Title

Owner/ Ceo

Phone

(631) 987-3011

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne Nicole Mackillop, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1154615052
  NPD Authorized official

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1760326813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 COTTON ROSE CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121402",
            "telephone_number": "631-987-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 COTTON ROSE CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121402",
            "telephone_number": "631-987-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKILLOP MIND 2 P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "MACKILLOP",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "631-987-3011",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Machacek, DPT
• Neil Ross Macintyre III, M.D.
• Dawn Mack, COTA
• Mary Louise Mack, LCMHCS, NCC
• Mary Sue Mackay, PHYSICAL THERAPIST
• Todd Mackillop, PA
• Yvonne Nicole Mackillop, PA-C
• Emily Elaine Mackovjak, FNP
• Breanna Maclellan, LCSW
• Derek James Macleod, LCASA, LCMHCA

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.