Organization Active NPI

Shamrock Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1184313702
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SHAMROCK PROSTHETICS INC
Practice address
2647 Buford Hwy NE
Atlanta, GA 30324-3239
Phone
(706) 850-4544
Fax
(706) 622-6556
NPI assigned
May 1, 2023
Organization subpart
Yes
Parent organization
SHAMROCK PROSTHETICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan K McMahan
Title
President and Ceo
Phone
(706) 850-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2647 Buford Hwy NE
Atlanta, GA 30324-3239

Mailing address

825 King Ave
Athens, GA 30606-2877
Phone (706) 850-4544

Other names 1

  • Buford Hwy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230524001406 GA DME Supplier - Other 6507178993 Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shamrock Prosthetics Inc2647 Buford Hwy NE, Atlanta, GA 30324-3239(706) 850-4544 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since May 29, 2015

National Provider Directory

National Provider Directory
Tax ID family
Shamrock Prosthetics Inc2 organizations share this tax ID, including this one
Part of
Shamrock Prosthetics Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1184313702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062877",
            "telephone_number": "706-850-4544",
            "fax_number": "706-622-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 BUFORD HWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243239",
            "telephone_number": "706-850-4544",
            "fax_number": "706-622-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK PROSTHETICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAMROCK PROSTHETICS INC",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "706-850-4544"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buford Hwy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Buford Hwy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.