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

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