Mackenzie Simpkins Shamblin, APRN, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN280788 Issued in GA

Practice address

104 Pioneer Dr
Athens, GA 30605-4016

Phone

(706) 466-6404

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Pruitthealth Physicians Services, LLC

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1043676299

  Nurse Practitioner

  Medicare reassignment NPD
• Hospice Care of South Carolina, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Columbia, SC
  • NPI 1174956098
  Medicare reassignment NPD
• Hospice Care of South Carolina, LLC

  • Community Based Hospice Care Agency
  • Spartanburg, SC
  • NPI 1558457804
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1972298974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PIONEER DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054016",
            "telephone_number": "706-466-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PIONEER DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054016",
            "telephone_number": "706-466-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "MACKENZIE",
        "middle_name": "SIMPKINS",
        "name_prefix": "Mrs.",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN280788",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "27530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arpit Shah, MD
• Kaushik Sukhendra Shah, MD
• Manish Girish Shah, M.D.
• Nirvi Shah
• Tirth J Shah, MD
• Shamrock Prosthetics Inc
• Omar Shanaa, MD
• Sarah Helen Shanewise, PA
• Gwyneth June Shanks, LCSW
• Amanda Shannon

• Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.