MEDICARE: SHAMROCK PROSTHETICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1184313702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAMROCK PROSTHETICS INC

Provider Business Mailing Address
First Line	:	825 KING AVE
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-2877
Country	:	US
Telephone Number	:	706-850-4544
Fax Number	:	706-622-6556

Provider Business Practice Location Address
First Line	:	2647 BUFORD HWY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3239
Country	:	US
Telephone Number	:	706-850-4544
Fax Number	:	706-622-6556

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	SUSAN K MCMAHAN
Credential	:
Telephone Number	:	706-850-4544

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	09/18/2025

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Directions to “SHAMROCK PROSTHETICS INC ” Practice Location

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