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

Dr. Kelley R Shackelford, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083118459

Dr. Kelley R Shackelford, MD is an Internal Medicine in Orlando, Florida. Graduated from Florida State University College of Medicine in 2018, 8 years ago. Practices with Orlando Physicians Network Inc, a 231-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Trained at
Florida State University College of Medicine
Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Orlando, FL

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 68 W Underwood Street, Orlando, FL 32806 — (954) 536-8335

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME147661 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083118459
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Orlando Physicians Network Inc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Orlando