KELLIE MACK (ATC) – Athletic Trainer, NPI 1972271765

KELLIE MACK (ATC) is a healthcare provider. based in Vidalia, Georgia. specializing in Athletic Trainer. They hold the professional credentials ATC. The NPI Number for KELLIE MACK (ATC) is 1972271765

Main info

Female
Name
KELLIE MACK (ATC)
NPI
1972271765
Phone
(912) 373-2568
Address
709 ALLEN DR
Enumeration Date
6 September 2021
Last Update Date
6 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for KELLIE MACK (ATC)

  • 709 ALLEN DR

    VIDALIA, GA 304746348

    Phone: (912) 373-2568

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 30474)

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Frequently asked questions

What federal number belongs to KELLIE MACK (ATC)?
The federal identifier for KELLIE MACK (ATC) is NPI 1972271765.
Is KELLIE MACK (ATC) currently active in the NPI registry?
CMS-published data lists KELLIE MACK (ATC) as an active registrant.
What does KELLIE MACK (ATC) treat or focus on?
Patients typically see KELLIE MACK (ATC) under the specialty Athletic Trainer. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLIE MACK (ATC)?
The page summarizes Vidalia, Georgia for KELLIE MACK (ATC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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