Avalon Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AVALON MEDICAL LLC

Doing business as

Sherman Family Clinic

Practice address

608 Hwy 178
Sherman, MS 38869

Phone

(662) 840-1230

NPI assigned

Nov 19, 2010

Last updated

Dec 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Prather

Title

Business Manager

Phone

(662) 424-9550

Specialties & licenses 1

Addresses

Other names 1

• Sherman Family Clinic Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5552/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Draper, FNP-BC

  • Nurse Practitioner
  • Iuka, MS
  • NPI 1457083503
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1003118316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521130",
            "telephone_number": "662-424-9550",
            "fax_number": "662-424-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HWY 178",
            "city": "SHERMAN",
            "state": "MS",
            "postal_code": "38869",
            "telephone_number": "662-840-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "662-424-9550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acute Care & Family Clinic of Sherman, LLC
• Boa Vida Hospital of Aberdeen, Ms, LLC (MRH Medical Group, GSV Sherman)
• Frances W. Herod LLC (Lower Crossing Medical Clinic)
• GSV Care Medical Clinic of Sherman, LLC
• Cynthia Rena Kohliem, FNP-C
• Lower Crossing Pharmacy LLC (Sherman Drugs)

• Family Medicine Physician in Sherman, MS
• Providers in Sherman, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.