Individual provider Active NPI

Ann Davidson Sheerin, LPC

  • Mental Health Counselor
  • Peachtree City, GA
National Provider Identifier
1023519477
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC009852 Issued in GA
Practice address
200 Westpark Dr Ste 130
Peachtree City, GA 30269-1447
Phone
(404) 747-7709
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC009852 GA Primary

Addresses

Primary practice location

200 Westpark Dr Ste 130
Peachtree City, GA 30269-1447

Mailing address

413 Deergrass TRL
Peachtree City, GA 30269-3411
Phone (706) 766-1314

Other practice location 1

2964 Peachtree Rd NW Ste 760
Atlanta, GA 30305-2220
Phone (404) 747-7709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 20, 2024 through Mar 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC009852GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Counseling Past Accepting new patients
Grow Heal Live Lead LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023519477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 DEERGRASS TRL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693411",
            "telephone_number": "706-766-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTPARK DR STE 130",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691447",
            "telephone_number": "404-747-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 Peachtree Rd NW Ste 760",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052220",
            "country_code": "US",
            "telephone_number": "404-747-7709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEERIN",
        "first_name": "ANN",
        "middle_name": "DAVIDSON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.