Mrs. Shelly C McCormick, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1790778496

Mrs. Shelly C McCormick, MD is a Pediatric Medicine in West Monroe, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1991, 35 years ago. Works from 5 locations. Licensed in Colorado, Louisiana, Mississippi and Ohio.

Years since qualifying: 35
Trained at: Louisiana State University School of Medicine in Shreveport
Licensed in: CO, LA, MS, OH
In the registry since: 2005
Specialties on file: 9

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

503 McMillan Rd
West Monroe, LA 71291
Phone: (318) 329-8310
Fax: (318) 329-8313

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

Additional practice locations (4)

309 Jackson St, Monroe, LA 71201-7407 — (318) 966-4470
1541 Kings Hwy, Shreveport, LA 71103-4228 — (318) 212-9440
401 N Ewing St, Lancaster, OH 43130-3372 — (740) 687-8000
335 Glessner Ave, Mansfield, OH 44903-2269 — (419) 526-8136

Specialties & licences

Pediatrics Physician (primary)	Taxonomy 208000000X · Licence 021354 (LA)
Pediatric Adolescent Medicine Physician	Taxonomy 2080A0000X · Licence 021354 (LA)
Pediatrics Physician	Taxonomy 208000000X · Licence DR.63225 (CO)
Neonatal-Perinatal Medicine Physician	Taxonomy 2080N0001X · Licence 30575 (MS)
Neonatal-Perinatal Medicine Physician	Taxonomy 2080N0001X · Licence 021354 (LA)
Hospitalist Physician	Taxonomy 208M00000X · Licence 35C.000651 (OH)
Pediatric Adolescent Medicine Physician	Taxonomy 2080A0000X · Licence 30575 (MS)
Pediatrics Physician	Taxonomy 208000000X · Licence DR.0063225 (CO)
Pediatrics Physician	Taxonomy 208000000X · Licence 35C.000651 (OH)

Record details

NPI number	1790778496
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD
Sole proprietor	No
NPI enumerated	August 26, 2005
Last updated in NPPES	June 3, 2026
Certification date	June 3, 2026

Medicare enrollment

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

Medicare specialty	PEDIATRIC MEDICINE
Medical school	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated	1991 (35 years in practice)
Accepts Medicare assignment	Not indicated
Practice locations	2 on file with Medicare