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

Individual provider Medical Physician Assistant · NPI 1659342327

Mackenzie Prandi, PA-C is a Physician Assistant in Salem, Virginia. Qualified in 2005, 21 years ago. Practices with Lewis Gale Physicians LLC, a 194-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2006
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

1802 Braeburn Dr
Salem, VA 24153-7357
Phone: (540) 772-3530
Fax: (540) 776-2036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Knotbreak Rd, Salem, VA 24153-5404 — (540) 444-4020
  • 1900 Electric Rd, Salem, VA 24153-7474 — (540) 444-4020

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110002209 (VA)

Record details

NPI number1659342327
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJanuary 4, 2022
Mailing address2000 Health Park Dr Fl Hp2, Brentwood, TN 37027-4692

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Lewis Gale Physicians Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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