SHELLIE CORNELIUS PA
NPI 1134107352
Physician Assistant in Tallahassee, FL

Q: What is Shellie Cornelius's NPI number?

The NPI number for Shellie Cornelius is 1134107352. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Q: What is Shellie Cornelius's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shellie Cornelius was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 06, 2006

1541 MEDICAL DR, TALLAHASSEE, FL 32308(850) 431-7805(850) 431-7809 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Shellie Cornelius Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLIE CORNELIUS PA (NPI 1134107352) is an individual physician assistant in Tallahassee, Florida, licensed in Virginia (0110840579) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1134107352

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSHELLIE CORNELIUSCredential: PA

Location Address1541 MEDICAL DRTallahassee, FL 32308-4615

Mailing Address1541 Medical DrTallahassee, FL 32308-4615 · (850) 431-7805 · Fax (850) 431-7809

Phone(850) 431-7805

Fax(850) 431-7809

Sole ProprietorNo

Enumeration DateJanuary 6, 2006

Last NPPES UpdateFebruary 13, 2019

✔ NPI 1134107352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in VA · 0110840579✔ Licensed in FL · PA9106607

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1541 MEDICAL DR, Tallahassee, FL 32308

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW THOMAS HARRISON APRN

Nurse Practitioner (Family)