Active NPI
Mackenzie Brown Oliver
- Critical Care Neonatal Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1093665176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- APRN-NP277997
- Practice address
- 550 Medical Center Blvd
Lawrenceville, GA 30046-7688 - Phone
- (678) 312-1000
- NPI assigned
- Jan 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | APRN-NP277997 | GA | Primary |
Addresses
Primary practice location
550 Medical Center Blvd
Lawrenceville, GA 30046-7688
Mailing address
1330 Pleasant Valley Rd
Monroe, GA 30655-7268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP277997 | GA | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1093665176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 PLEASANT VALLEY RD",
"city": "MONROE",
"state": "GA",
"postal_code": "306557268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467688",
"telephone_number": "678-312-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "MACKENZIE",
"middle_name": "BROWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-29",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "GA",
"license": "APRN-NP277997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.