Side Mack, PA
NPI 1740232966 · Physician Assistant · Greensboro, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Side Mack, PA is a Physician Assistant provider in Greensboro, NC (NPI 1740232966).
Provider details
- NPI number
- 1740232966
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 1000323 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
151 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 43 | $72 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 38 | $88 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 28 | $50 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 16 | $102 |
| Detection Test By Nucleic Acid for Multiple Types Influenza Virus87502 | 14 | $94 |
| Automated Urinalysis Test81003 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 76 | 75 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 54 | 53 |
| Doxycycline Hyclate | 27 | 26 |
| Fluticasone Propionate | 26 | 26 |
| Ibuprofen | 22 | 22 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 20 | 20 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 17 |
Practice location
Mailing address
Additional practice locations (2)
- 1200 N Elm StGreensboro, NC 27401-1004Phone: (336) 716-2255
- 794 S Main St Ste BKernersville, NC 27284-4074Phone: (336) 904-2317Fax: (336) 443-6030
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Frequently asked questions
- What is Side Mack's NPI number?
- Side Mack's National Provider Identifier (NPI) is 1740232966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Side Mack's specialty?
- Side Mack is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Side Mack located?
- Side Mack's practice location on file with NPPES is 1309 Lees Chapel Rd, Greensboro, NC 27455-2601.
- What is Side Mack's phone number?
- The practice phone number listed in the NPPES registry for Side Mack is (336) 286-5505.
- Does Side Mack accept Medicare?
- Side Mack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Side Mack's NPI active?
- Yes — Side Mack's NPI (1740232966) is active in the NPPES registry as of the last update on 2022-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.