| NPI | 1053546507 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-05-27 |
| Last Updated | 2026-03-09 |
| Mailing Address | 5800 Old Pineville Rd Ste 101 Charlotte, NC 28217-4106 United States Phone: (704) 393-7720 | Fax: (704) 398-3173 📍 View Map |
| Primary Practice Address | 5800 Old Pineville Rd Ste 101 Charlotte, NC 28217-4106 United States Phone: (704) 393-7720 | Fax: (704) 398-3173 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | NC | 1700847969 |
| No | 207Q00000X – Family Medicine | DC | MD040888 |
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About NPI 1053546507
Crystal Monique Mackie M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053546507. The primary specialty listed is Family Medicine. The provider is located in Charlotte, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-05-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053546507?
NPI 1053546507 belongs to Crystal Monique Mackie M.D., a Family Medicine in Charlotte, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053546507 active?
The current status of NPI 1053546507 in the NPPES registry is Active. The record was last updated on 2026-03-09.
What specialty is NPI 1053546507?
NPI 1053546507 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053546507?
You can verify NPI 1053546507 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053546507?
The primary practice address on file for NPI 1053546507 is 5800 Old Pineville Rd Ste 101, Charlotte, NC 28217-4106. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053546507 issued?
NPI 1053546507 was first issued (enumerated) on 2009-05-27. The NPPES record was last updated on 2026-03-09.
Practice Location Map
Crystal Monique Mackie is located at 5800 Old Pineville Rd Ste 101, Charlotte, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Crystal Monique Mackie. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053546507. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 1700847969 | NC |
| Family Medicine | MD040888 | DC |