Robert Allen Sheely, MD
Family Medicine in Brandon, MS. Individual provider (NPI-1).
NPI number1104895028
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1104895028
- Entity type
- Individual (NPI-1)
- Name
- Robert Allen Sheely
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2006
- Certification date
- Aug 18, 2020
- Last updated
- Sep 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 17053 | MS | Yes |
Practice location
1220 N Shore Pkwy Ste ABrandon, MS 39047-6383
Phone 601-829-2939 · Fax 601-829-2995
Mailing address
1220 N Shore Pkwy Ste ABrandon, MS 39047-6383
Phone 601-829-2939 · Fax 601-829-2995
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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