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

Mr. Carlton Brooks Shealy III, RN

Individual provider Case Management Registered Nurse · NPI 1316768112

Mr. Carlton Brooks Shealy III, RN is a Case Management Registered Nurse in Aiken, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

420 Pavilion Pass
Aiken, SC 29803
Phone: (803) 257-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 237093 (SC)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 237093 (SC)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 237093 (SC)

Record details

NPI number1316768112
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 21, 2024

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