Active NPI
Mackenzie Carroll, DO
- Family Medicine Physician
- Middlesboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 06091
- Practice address
- 1530 US Highway 25 E
Middlesboro, KY 40965-1861 - Phone
- (606) 654-9450
- Fax
- (606) 302-4240
- NPI assigned
- Jun 7, 2022
- Last updated
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 06091 | KY | Primary |
Addresses
Primary practice location
1530 US Highway 25 E
Middlesboro, KY 40965-1861
Mailing address
PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4823
Other practice location 1
4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 652-8440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Memorial University Medical Department, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 US Hwy 25 E
Middlesboro, KY 40965-1861
Phone (606) 654-9450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06091 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Family Medicine | Current | Accepting new patients |
| Mountain Comprehensive Health Corporation | Family Medicine | Current | Accepting new patients |
Locations
1530 US Highway 25 E
Middlesboro, KY 40965
Phone (606) 654-9450
226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871
Interoperability endpoints
- mackenzie.carrolldo.p1@direct.mtncomp.nextgenshare.com
- mcarroll04@arh.medalliesdirect.net
- mcarroll400033@direct.musc.edu
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Whitesburg, KY
- NPI 1417900242
Family Medicine
-
dba Mountain Comprehensive Specialty Services
- Pulmonary Disease Physician
- Whitesburg, KY
- NPI 1033166350
-
dba Elkhorn City Optometry Clinic
- Primary Care Clinic/Center
- Elkhorn City, KY
- NPI 1215818414
-
- Primary Care Clinic/Center
- Cumberland, KY
- NPI 1992251185
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ARH Specialty Associates - Middlesboro
- Multi-Specialty Clinic/Center
- Middlesboro, KY
- NPI 1801403092
Hospital
-
dba Middlesboro ARH Hospital
- General Acute Care Hospital
- Middlesboro, KY
- NPI 1891792495
-
dba ARH Middlesboro Internal Medicine Clinic
- Internal Medicine Physician
- Middlesboro, KY
- NPI 1932415882
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1982333704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418580040",
"telephone_number": "606-633-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 US HIGHWAY 25 E",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409651861",
"telephone_number": "606-654-9450",
"fax_number": "606-302-4240"
}
],
"practiceLocations": [
{
"address_1": "4320 Holmestown Rd",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887837",
"country_code": "US",
"telephone_number": "843-652-8440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "MACKENZIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "06091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlesboro, KY
- Lloyd Lee Cain Jr., OD
- Richard D. Calhoun, DPM
- Savannah Catherine Campbell, LCP
- Christy Mills Capps
- Courtney Carroll, PHARM.D
- Hope Madison Carter, PA-C
- Pamela Cavins, NP-C
- Champion Physical Therapy Kentucky, LLC (CORA Physical Therapy - Middlesboro)
- Champion Physical Therapy Kentucky, LLC (CORA Physical Therapy - Middlesboro)
- Leigh Ann Michelle Chappell, MA, CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.