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

John Edward Mack, PA

Individual provider Physician Assistant · NPI 1619918968

John Edward Mack, PA is a Physician Assistant in Fishersville, Virginia. Licensed in New York and Virginia. Registered with an NPI since 2006.

Licensed in
NY, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

70 Medical Center Cir Ste 213
Fishersville, VA 22939-2273
Phone: (540) 245-7705
Fax: (540) 245-7710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0110006808 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 006239 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 006239 (NY)

Record details

NPI number1619918968
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address1301 Ladd Rd, Waynesboro, VA 22980-7426

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