DOUGLAS JOSEPH MACKENZIE MD NPI 1174557623

NPI Information

  • NPI: 1174557623
  • Provider Name: DOUGLAS JOSEPH MACKENZIE, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 MEDICAL CENTER PKWY STE 400410
    MURFREESBORO, TN
    ZIP 37129
  • Phone: (805) 729-2302

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NPI Details

Douglas Joseph Mackenzie, MD is a plastic and reconstructive surgery surgery in Murfreesboro, TN with 7 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Douglas Joseph Mackenzie, MD NPI is 1174557623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 MEDICAL CENTER PKWY STE 400410
MURFREESBORO, TN
ZIP 37129-567
Phone: (805) 729-2302

The NPI 1174557623 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery65020TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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