Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shana J Mackin, NP-C

Individual provider Acute Care Nurse Practitioner · NPI 1538755301

Shana J Mackin, NP-C is a Nurse Practitioner in Georgetown, South Carolina. Qualified in 2019, 7 years ago. Practices with Tidelands Ghs Joint Venture LLC, a 2-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2020
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

2591 N Fraser St
Georgetown, SC 29440-6411
Phone: (843) 546-3410
Fax: (843) 527-6964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 24524 (SC)

Record details

NPI number1538755301
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 16, 2020
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tidelands Ghs Joint Venture Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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