Dominique Mack, PA-C
NPI 1992575617ActiveIndividual· Physician Assistant· Thomasville, GA
Physician Assistant (PA-C) with Nephrology Medical Associates of Georgia, LLC, practicing in Thomasville, Georgia. Enrolled in Medicare as practitioner - physician assistant. Lists Archbold Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1992575617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 3, 2024 |
| Last updated in NPPES | May 8, 2026 |
| Certified by provider | May 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13682 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Nephrology Medical Associates of Georgia, LLCThomasville, GA · 17 clinicians
Hospital affiliation
- Archbold Memorial HospitalThomasville, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 37 physician assistants in Thomasville · All physician assistants in Georgia