NPIMap

Individual provider Active NPI

Shana J Mackin, NP-C

  • Acute Care Nurse Practitioner
  • Georgetown, SC
National Provider Identifier
1538755301
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
24524 Issued in SC
Practice address
2591 N Fraser St
Georgetown, SC 29440-6411
Phone
(843) 546-3410
Fax
(843) 527-6964
NPI assigned
Dec 16, 2020
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 24524 SC Primary

Addresses

Primary practice location

2591 N Fraser St
Georgetown, SC 29440-6411

Mailing address

4731 Highway 17
Murrells Inlet, SC 29576-5127
Phone (843) 839-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027000738 SC Practitioner - Nurse Practitioner 2769859156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Farrow Pkwy
Unit B6
Myrtle Beach, SC 29577-2011
Phone (843) 546-3410

4112 Carolina Commercial Dr
Myrtle Beach, SC 29579-4223
Phone (843) 839-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24524SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC Pain & Spine Specialists, LLC CurrentSince Nov 6, 2023 Accepting new patients
Tidelands GHS Joint Venture LLC CurrentSince Nov 10, 2025 Accepting new patients
SC Pain & Spine Specialists, LLC CurrentSince Nov 6, 2023 Accepting new patients
Falk Family Chiropractic Center P.C CurrentSince Aug 29, 2022 Accepting new patients
SC Pain & Spine Specialists, LLC CurrentSince Nov 6, 2023 Accepting new patients
Patricia R. Grant, MD PA CurrentSince Aug 30, 2023 Accepting new patients
Tidelands GHS Joint Venture LLC PastSince Nov 10, 2025 Accepting new patients

Locations

1501 9th Ave
Conway, SC 29526
Phone (843) 248-0104

2591 N Fraser St
Georgetown, SC 29440
Phone (843) 546-3410

1569 Highway 17
Little River, SC 29566

1575 Highway 17
Little River, SC 29566

4731 Highway 17
Murrells Inlt, SC 29576
Phone (843) 318-9677

1600 Farrow Pkwy
Unit B6
Myrtle Beach, SC 29577
Phone (843) 546-3410

4112 Carolina Commercial Dr
Myrtle Beach, SC 29579

4112 Carolina Commercial Dr
Ste 101
Myrtle Beach, SC 29579

313B Commerce Dr
Pawleys Island, SC 29585
Phone (843) 894-0978

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1538755301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765127",
            "telephone_number": "843-839-7246",
            "fax_number": "843-839-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406411",
            "telephone_number": "843-546-3410",
            "fax_number": "843-527-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIN",
        "first_name": "SHANA",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "24524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.