ENIKI A MACK (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1730307927

ENIKI A MACK (MD) is a healthcare provider. based in Gainesville, Georgia. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 064410 (GA). The NPI Number for ENIKI A MACK (MD) is 1730307927

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ENIKI A MACK (MD)
NPI
1730307927
Phone
(770) 536-9864
Address
1240 JESSE JEWELL PKWY SE
Enumeration Date
23 April 2007
Last Update Date
14 September 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7705369864
Graduation Year
2005 (21 years ago)
PAC ID
3870679822
Group Practice PAC ID
1951655737
Professional Enrollment ID
I20100910000051
Address ID
GA305013861GA1240XSEXX505
Telehealth
Yes

Contacts

Secure Messaging
enikimack@negaidx.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

238 ENDOCRINOLOGY in GA

Provider Addresses for ENIKI A MACK (MD)

  • 1240 JESSE JEWELL PKWY SE

    SUITE 500

    GAINESVILLE, GA 305013862

    Phone: (770) 536-9864

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $2,564.

Total Amount is formed as General ($2,564) + Research ($0) + Ownership ($0) = $2,564.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($605).

Total Amount

$2,564

General + Research + Ownership

Payments

84

Total payment records

General Amount

$2,564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-10

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
I20100910000051IEndocrinologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg3,12131$0
36415Insertion of needle into vein for collection of blood sample642353$0
99214Established patient office or other outpatient visit, 30-39 minutes600333$0
80053Blood test, comprehensive group of blood chemicals410218$0
84443Blood test, thyroid stimulating hormone (tsh)380244$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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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: 1951655737View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)GA
Pulmonary DiseaseGA
Nurse PractitionerGA
Pulmonary DiseaseGA
Internal MedicineGA
Internal MedicineGA
Internal MedicineGA
-GA
Nephrology, Internal MedicineGA
E N D O C R I N O L O G YMS

Reviews

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Frequently asked questions

What is the 10-digit NPI for ENIKI A MACK (MD)?
ENIKI A MACK (MD) — NPI 1730307927 — is the standard way to identify this listing.
Is ENIKI A MACK (MD) still practicing?
ENIKI A MACK (MD) is currently listed as active in the public NPI registry.
What healthcare role does ENIKI A MACK (MD) hold?
Scheduling teams often label ENIKI A MACK (MD) under Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ENIKI A MACK (MD)?
ENIKI A MACK (MD)'s geographic hint is Gainesville, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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