MACKENSIE HOGAN – Anesthesiologist Assistant, NPI 1346031739

MACKENSIE HOGAN is a healthcare provider. based in Canton, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. 13362 (GA). The NPI Number for MACKENSIE HOGAN is 1346031739

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MACKENSIE HOGAN
NPI
1346031739
Phone
(678) 780-9325
Address
601 E HAMPTON PL
Enumeration Date
14 May 2025
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702241000
Graduation Year
2025 (1 year ago)
PAC ID
4183121817
Group Practice PAC ID
5496134348
Professional Enrollment ID
I20251008004159
Address ID
GA301158015CA450XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for MACKENSIE HOGAN

  • 601 E HAMPTON PL

    CANTON, GA 301156374

    Phone: (678) 780-9325

    Type: Mailing

  • 1000 JOHNSON FERRY RD

    ATLANTA, GA 303421606

    Phone: (404) 851-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251008004159IAnesthesiology AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496134348View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

How is MACKENSIE HOGAN identified in CMS data?
CMS-hosted NPPES data lists MACKENSIE HOGAN with NPI 1346031739.
Is MACKENSIE HOGAN listed as active for patients and plans?
The listing shows MACKENSIE HOGAN as active in the NPI system.
What taxonomy line describes MACKENSIE HOGAN?
For research purposes, treat MACKENSIE HOGAN as Anesthesiologist Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MACKENSIE HOGAN on a map?
Expect Canton, Georgia as a primary anchor for MACKENSIE HOGAN unless the record lists multiple sites.
Is the information about MACKENSIE HOGAN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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