Neil S Mackay, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TEMP PERMIT 1961 Issued in GA

Practice address

5955 State Bridge Rd
Suite 200
Johns Creek, GA 30097-8208

Phone

(678) 205-4261

Fax

(678) 417-7187

NPI assigned

Oct 7, 2009

Last updated

Nov 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

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.

• Northside Emergency Associates, LLC

  • Emergency Medicine Physician
  • Sandy Springs, GA
  • NPI 1285686303
  Medicare reassignment
• The Bortolazzo Group, LLC

  • Emergency Medicine Physician
  • Austell, GA
  • NPI 1801965082
  Medicare reassignment
• Orthoatlanta, LLC

  • Orthopaedic Surgery Physician
  • Evans, GA
  • NPI 1679251920
  NPD (past)
• Piedmont Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1114317062
  NPD (past)
• Orthoatlanta, LLC

  • Orthopaedic Surgery Physician
  • Aiken, SC
  • NPI 1427887157
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1790010841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GALLERIA PKWY SE",
            "address_2": "SUITE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393179",
            "telephone_number": "770-953-6929",
            "fax_number": "770-953-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 STATE BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978208",
            "telephone_number": "678-205-4261",
            "fax_number": "678-417-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "NEIL",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "TEMP PERMIT 1961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Luchetta Da Costa, PT
• Luna Plastic Surgery, PC
• Lixuan Ma
• Taylor Fritz Mabe, AGACNP-BC
• Charles Albert Machemehl III, DMD, MSD
• Kelly Macphaul, PA-C
• Melissa Presswood Maddux, NP-C
• Ivana Magallanes
• Maggie Mooo LLC (Uptown Eye Boutique)
• Nelliah Mahachi

• Physician Assistant in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.