Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tianna Marie Mack, DO

Individual provider Family Medicine Physician · NPI 1912643891

Dr. Tianna Marie Mack, DO is a Family Practice in Cheyenne, Wyoming. Qualified in 2022, 4 years ago. Practices with Uptown Community Health Center Inc, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

820 E 17th St
Cheyenne, WY 82001-4714
Phone: (307) 632-2434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 418 W 31st St, Cheyenne, WY 82001-2527 — (303) 503-2310

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 210-T1 (WY)

Record details

NPI number1912643891
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 12, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJune 29, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Uptown Community Health Center Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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