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

Shellie Cornelius, PA

Individual provider Physician Assistant · NPI 1134107352

Shellie Cornelius, PA is a Physician Assistant in Tallahassee, Florida. Licensed in Florida and Virginia. Registered with an NPI since 2006.

Licensed in
FL, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1541 Medical Dr
Tallahassee, FL 32308-4615
Phone: (850) 431-7805
Fax: (850) 431-7809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110840579 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA9106607 (FL)

Record details

NPI number1134107352
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESFebruary 13, 2019
Mailing address1541 Medical Dr, Tallahassee, FL 32308-4615

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