Shelley H Mallard, APRN, BC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R1129202 Issued in GA

Practice address

305 Jones Ave
Waynesboro, GA 30830-1510

Phone

(706) 554-5147

Fax

(706) 554-6111

NPI assigned

Jun 12, 2006

Last updated

Jul 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical SpecialistsGroup PAC ID 0840108478, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medical Specialists

  dba Medical Associates

  • Rural Health Clinic/Center
  • Waynesboro, GA
  • NPI 1063459899
  NPD
• Medical Specialists, Inc

  dba North Jefferson Medical Center

  • Rural Health Clinic/Center
  • Wrens, GA
  • NPI 1851334015
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1568404457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 JONES AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301510",
            "telephone_number": "706-554-5147",
            "fax_number": "706-554-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 JONES AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301510",
            "telephone_number": "706-554-5147",
            "fax_number": "706-554-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARD",
        "first_name": "SHELLEY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R1129202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000829474B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000829474C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Liggett
• Haley Lindsey
• Meihong Liu, PHARMD
• Living Life Well Chiropractic, Inc
• Love's Senior Care Services
• Laconya Manuel
• Jillian Marasco
• Lortatia Marshall, CNA
• Katelyn Maruca
• Ross R McCabe, MD

• Family Nurse Practitioner in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.