Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MAKENA RENEE SHIELDS D.O.
NPI 1073255360
Obstetrics & Gynecology in Moultrie, GA

Q: What is Makena Shields's NPI number?

The NPI number for Makena Shields is 1073255360. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Makena Shields's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Makena Shields was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2022PECOS Enrolled

3 SWEET BAY CT, MOULTRIE, GA 31768(229) 985-2198 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Apr 8, 2022 (2 updates tracked since 2022).

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About Dr. Makena Renee Shields D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAKENA RENEE SHIELDS D.O. (NPI 1073255360) is an individual obstetrics & gynecology provider in Moultrie, Georgia, licensed in Georgia (111605) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073255360

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MAKENA RENEE SHIELDSCredential: D.O.

Location Address3 SWEET BAY CTMoultrie, GA 31768-6784

Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 502-9681

Phone(229) 985-2198

Sole ProprietorNo

Enumeration DateApril 8, 2022

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1073255360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 111605

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3 SWEET BAY CT, Moultrie, GA 31768

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Makena Renee Shields D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE ANNE LURIE DO

Obstetrics & Gynecology (Gynecology)