Active NPI
Rodney Edwin Shackelford, DO
- Anatomic Pathology & Clinical Pathology Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- OS026047
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (717) 531-8246
- Fax
- (717) 531-7741
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 101545 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DO.2845 | AL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DO.000021 | LA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | OS026047 | PA | Primary |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208
Other practice location 1
2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Emory University Hospital
- Emory University Hospital Midtown
- Emory Johns Creek Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101545 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
| DO.000021 | LA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients |
Locations
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
2451 University Hospital Dr
Mobile, AL 36617
Phone (251) 471-7000
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Anatomic Pathology & Clinical Pathology
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1124227715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR MC CA410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-5208",
"fax_number": "717-531-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-8246",
"fax_number": "717-531-7741"
}
],
"practiceLocations": [
{
"address_1": "2451 University Hospital Dr",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366172300",
"country_code": "US",
"telephone_number": "251-471-7790",
"fax_number": "251-471-7096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHACKELFORD",
"first_name": "RODNEY",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "101545",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "DO.2845",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "DO.000021",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "OS026047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.