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

Shannon Kellum, NP

Individual provider Acute Care Nurse Practitioner · NPI 1568065027

Shannon Kellum, NP is a Nurse Practitioner in Eupora, Mississippi. Qualified in 2020, 6 years ago. Practices with Cain Clinic of Eupora, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1301 Veterans Memorial Blvd
Eupora, MS 39744-2064
Phone: (662) 258-7200
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 904206 (MS)

Record details

NPI number1568065027
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 18, 2020
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address1238 Turner Rd, Maben, MS 39750-9141

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cain Clinic Of Eupora — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare