Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jarrel Lynne Shackleford, PA-C

Individual provider Physician Assistant · NPI 1548559099

Jarrel Lynne Shackleford, PA-C is a Physician Assistant in Wilmington, North Carolina. Qualified in 2010, 16 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Rhode Island.

Years since qualifying
16
Licensed in
NC, RI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350
Phone: (910) 662-8765
Fax: (910) 362-9123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 Quaker Ln, West Warwick, RI 02893-2283 — (401) 828-7110

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12100 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA00580 (RI)

Record details

NPI number1548559099
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2011
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Wilmington