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

Dr. Shem Kearney Blackley III, MD

Individual provider Urology Physician · NPI 1578576674

Dr. Shem Kearney Blackley III, MD is an Urology in Shelby, North Carolina. Graduated from Wake Forest University School of Medicine in 1983, 43 years ago. Practices with Carolina Urology Partners PLLC, a 37-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
43
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2006
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

1001 N Washington St
Shelby, NC 28150-1800
Phone: (704) 482-2011
Fax: (704) 484-0303
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 32340 (NC)

Record details

NPI number1578576674
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Carolina Urology Partners Pllc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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