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

Mackenzie Erin Manley, PAC

Individual provider Physician Assistant · NPI 1730731266

Mackenzie Erin Manley, PAC is a Physician Assistant in Conyers, Georgia. Qualified in 2020, 6 years ago. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2019
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1269 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone: (770) 922-0505
Fax: (678) 625-5137
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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 13826 (GA)

Record details

NPI number1730731266
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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