Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Mack, PA-C

Individual provider Physician Assistant · NPI 1992575617

Dominique Mack, PA-C is a Physician Assistant in Thomasville, Georgia. Qualified in 2025, 1 year ago. Practices with Nephrology Medical Associates of Georgia, LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

334 Smith Ave
Thomasville, GA 31792-5533
Phone: (229) 227-1595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13682 (GA)

Record details

NPI number1992575617
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2024
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Nephrology Medical Associates Of Georgia, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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