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

Christy L Shackelford

Individual provider Physician Assistant · NPI 1790529154

Christy L Shackelford is a Physician Assistant in Tallahassee, Florida. Qualified in 2024, 2 years ago. Practices with Florida Woman Care LLC, a 609-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3217 Capital Medical Blvd
Tallahassee, FL 32308-4413
Phone: (850) 320-7693
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9119759 (FL)

Record details

NPI number1790529154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2024
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Florida Woman Care Llc — 609 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tallahassee