Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Carol Shackleton, MD, PC

Organization Family Medicine Physician · NPI 1194803619

Carol Shackleton, MD, PC provides Family Medicine Physician services in Gothenburg, Nebraska. Licensed in Nebraska. Registered with an NPI since 2006.

Licensed in
NE
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

918 20th St
Gothenburg, NE 69138-1237 Not confirmed with CMS for 14 years — call before visiting
Phone: (308) 537-7131
Fax: (308) 537-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16620 (NE)

Record details

NPI number1194803619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Shackleton — Owner · (308) 537-7131
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 9, 2012
Mailing address918 20th Street, Gothenburg, NE 69138-1237

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