Individual provider Active NPI

Rebecca Jenkins Sherwood, CRNP

  • Family Nurse Practitioner
  • Forsyth, GA
National Provider Identifier
1003305780
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223109 Issued in GA
Practice address
97 Martin Luther King Jr Dr
Forsyth, GA 31029-1648
Phone
(478) 957-9139
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN223109 GA Primary

Addresses

Primary practice location

97 Martin Luther King Jr Dr
Forsyth, GA 31029-1648

Mailing address

97 Martin Luther King Jr Dr
Forsyth, GA 31029-1648
Phone (478) 957-9139

Other names 1

  • Mrs. Rebecca Jenkins Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180825000099 AL Practitioner - Nurse Practitioner 6709135643 Reassigns benefits to 1 organization
I20191017002239 GA Practitioner - Nurse Practitioner 6709135643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Middle Georgia, P.C.Group PAC ID 6406911445, 6 clinicians

Practice addresses (Care Compare)

97 Martin Luther King Jr Dr
Forsyth, GA 31029-1648
Phone (478) 994-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN223109GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Middle Georgia, P.C. CurrentSince Aug 5, 2019 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 29, 2018 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 29, 2018 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480

837 Battle St E
Talladega, AL 35160
Phone (256) 649-8134

97 Martin Luther King Jr Dr
#D
Forsyth, GA 31029
Phone (478) 994-1010

97 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (478) 957-9139

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1003305780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MARTIN LUTHER KING JR DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291648",
            "telephone_number": "478-957-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MARTIN LUTHER KING JR DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291648",
            "telephone_number": "478-957-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "REBECCA",
        "middle_name": "JENKINS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JONES",
            "middle_name": "JENKINS",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forsyth, GA

Sources for this page

Verify at the official NPI Registry.