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

Kamryn Alice Mack, PA-C

Individual provider Physician Assistant · NPI 1619445228

Kamryn Alice Mack, PA-C is a Physician Assistant in Southfield, Michigan. Qualified in 2019, 7 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

22255 Greenfield Rd Ste 400
Southfield, MI 48075-3734
Phone: (248) 849-4880
Fax: (248) 849-4881
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1201 South Dr Ste 371, Mt Pleasant, MI 48858-3255 — (989) 953-5313
  • 1280 East Campus Dr Central Michigan University, Mt Pleasant, MI 48859-0001 — (989) 774-2478

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009636 (MI)

Record details

NPI number1619445228
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 13, 2018
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Southfield