Vernon T Mackey PC
NPI 1396959417 · Procedural Dermatology Physician · Peoria, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vernon T Mackey PC is a Procedural Dermatology Physician organization in Peoria, AZ (NPI 1396959417).
Provider details
- NPI number
- 1396959417
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vernon Mackey, Physician(623) 977-6700
- License
- 3535 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Desert Dermatology
- Doing business as
- Advanced Desert Dermatology
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Frequently asked questions
- What is Vernon T Mackey PC's NPI number?
- Vernon T Mackey PC's National Provider Identifier (NPI) is 1396959417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vernon T Mackey PC?
- Vernon T Mackey PC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Vernon T Mackey PC located?
- Vernon T Mackey PC's practice location on file with NPPES is 9191 W Thunderbird Rd, Peoria, AZ 85381-4270.
- What is Vernon T Mackey PC's phone number?
- The practice phone number listed in the NPPES registry for Vernon T Mackey PC is (623) 977-6700.
- Does Vernon T Mackey PC accept Medicare?
- Vernon T Mackey PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vernon T Mackey PC?
- The authorized official listed on Vernon T Mackey PC's NPPES record is Vernon Mackey, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vernon T Mackey PC's NPI active?
- Yes — Vernon T Mackey PC's NPI (1396959417) is active in the NPPES registry as of the last update on 2023-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.