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

Keith Mackay Jr., PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174184477

Keith Mackay Jr., PA-C is a Physician Assistant in South Weymouth, Massachusetts. Qualified in 2019, 7 years ago. Practices with Coastal Medical Associates, a 446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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

55 Fogg Rd
South Weymouth, MA 02190-2455
Phone: (781) 792-4121
Show map & directions

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

Additional practice locations (1)

  • 1367 Washington Ave Ste 200, Albany, NY 12206-1048 — (518) 289-2666

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 024838 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174184477
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 26, 2019
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

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 Coastal Medical Associates — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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