ENIKI A MACK


Address: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862
Phone: 7705369864

ENIKI A MACK (NPI# 1730307927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730307927
Entity Type Individual
Full Name ENIKI A MACK
Credential MD
Practice Address 1240 Jesse Jewell Pkwy Se
Suite 500
Gainesville
GA 30501-3862
Practice Telephone 7705369864
Mailing Telephone 7705369864
Enumeration Date 2007-04-23
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
064410 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 12099189 01

Office Location

Street Address 1240 JESSE JEWELL PKWY SE
SUITE 500
City GAINESVILLE
State GA
Zip Code 30501-3862

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609879881 C. Shane Bussler Internal Medicine 1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 2005-05-23
1346780251 Ashley Wilkins Physician Assistant 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3862 2017-02-27
1962948422 Charlsie A Thomas Physician Assistant 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 2017-01-09
1780128272 Lauren H Darnell Nurse Practitioner 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 2016-12-19
1912452061 Kristina Stefanova James Nurse Practitioner 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501-3862 2016-08-18
1124486238 Brandon Lee Morrow Physician Assistant 1240 Jesse Jewell Pkwy Se, Ste 300, Gainesville, GA 30501-3862 2016-02-03
1427413962 Sherry Hope Flanagan Nurse Practitioner 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 2015-12-29
1457757593 Colleen Mccoy Physician Assistant 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2014-11-18
1689009953 Ernie Loza Aldaco Registered Nurse 1240 Jesse Jewell Pkwy Se, Suite 300, Gainesville, GA 30501-3862 2013-09-05
1871838375 Laura J Johansen Physical Therapist 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 2012-12-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689931826 Ashok K Srihari Internal Medicine 230 Sw 2nd Ave Apt 301, Gainesville, FL 32601-6267 2012-04-12
1689764367 Whitney Woodmansee Internal Medicine 1600 Sw Archer Rd # 100226, Gainesville, FL 32610-1865 2006-10-13
1528056678 Bruce J Rogers Internal Medicine 4739 Nw 53rd Ave, #a, Gainesville, FL 32653-4800 2005-10-12
1437562337 Majlinda Xhikola Internal Medicine 1600 Sw Archer Rd, Gainesville, FL 32610-1865 2014-06-09
1356634265 Deep Shikha Internal Medicine 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3861 2011-05-25
1336431386 Sushma Kadiyala Internal Medicine 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2011-05-10
1720234297 Hans Kumar Ghayee Internal Medicine 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2008-08-14
1730347311 Diana Barb Internal Medicine 1601 Sw Archer Rd, Gainesville, FL 32608-1135 2008-05-30
1376756981 Sadaf Jeelani Internal Medicine 4340 W Newberry Rd, #301, Gainesville, FL 32607-2557 2007-05-08
1396864708 Gainesville Endocrine & Diabetes Associates Pa Internal Medicine 6440 W Newberry Rd, Suite 204, Gainesville, FL 32605-4381 2007-03-28
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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