MACKY ENTERPRISES PC (NPI# 1821323072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821323072 |
| Entity Type | Organization |
| Organization Name | MACKY ENTERPRISES PC |
| Other Organization Name | PEACHTREE CHILDRENS CLINIC |
| Practice Address |
5380 Peachtree Industrial Blvd 140 Norcross GA 30071-4713 |
| Practice Telephone | 7704461818 |
| Practice Fax Number | 7704461808 |
| Mailing Telephone | 7704461818 |
| Mailing Fax Number | 7704461808 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2010-02-23 |
| Authorized Official Name | SHELLON MCALLISTER-BROOKS (OWNER) |
| Authorized Official Telephone | 7704461818 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 061299 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peachtree Childrens Clinic | Doing Business As Name - Organization |
| Street Address |
5380 PEACHTREE INDUSTRIAL BLVD 140 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005645 | Ebenezer Healthcare Services | In Home Supportive Care | 5380 Peachtree Industrial Blvd, Suite 247 Ab, Norcross, GA 30071-4713 | 2015-10-12 |
| 1134487010 | Medical Exams Direct | Home Infusion | 5380 Peachtree Industrial Blvd, Suite 247 A/b, Norcross, GA 30071-4713 | 2012-04-27 |
| 1396013322 | Macky Enterprises P.C. | Clinic/Center | 5380 Peachtree Industrial Blvd, Ste 140, Norcross, GA 30071-4713 | 2011-12-05 |
| 1386940419 | Macky Enterprises P.C. | Pain Medicine | 5380 Peachtree Industrial Blvd, Ste 150, Norcross, GA 30071-4713 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467710715 | Norcross Pediatrics and Adolescent Medicine, Inc | Pediatrics | 1235 Indian Trail Rd, Suite 106, Norcross, GA 30093-4502 | 2012-04-24 |
| 1497933139 | Raymond Chihta Ho | Pediatrics | 5696 Peachtree Pkwy Ste K1, Norcross, GA 30092-2835 | 2008-02-05 |
| 1558587659 | Kamela Momin | Pediatrics | 1235 Indian Trail Rd Ste 100, Norcross, GA 30093-4502 | 2007-04-17 |
| 1568516615 | Norcross Pediatric Clinic Inc | Pediatrics | 4608 Jimmy Carter Blvd Ste 7, Norcross, GA 30093-3758 | 2007-01-23 |
| 1427131168 | Daniel Charles Tarquinio | Pediatrics | 5600 Oakbrook Pkwy Ste 120, Norcross, GA 30093-1843 | 2006-10-24 |
| 1508960881 | Neha N Soni | Pediatrics | 5139 Jimmy Carter Blvd Ste 205, Norcross, GA 30093-1638 | 2006-09-08 |
| 1447295431 | Alan G Weintraub | Pediatrics | 5635 Peachtree Parkway, Ste 120, Norcross, GA 30092 | 2006-06-17 |
| 1912957952 | Maribel R Woodward | Pediatrics | 5151 Brook Hollow Pkwy, Suite 145, Norcross, GA 30071-3664 | 2006-05-11 |
| 1902862535 | Lizhen Wang | Pediatrics | 510 Beaver Ruin Road, Suite B, Norcross, GA 30071 | 2006-04-22 |
| 1770548877 | Juana M Braverman | Pediatrics | 2625 Beaver Ruin Rd, Suite B, Norcross, GA 30071-4136 | 2006-04-20 |
| Find all providers in NORCROSS | ||||
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| 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.