Active NPI
Ann Davidson Sheerin, LPC
- Mental Health Counselor
- Peachtree City, GA
National Provider Identifier
1023519477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC009852
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009852 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Atlanta, GA
- NPI 1154734309
-
- Counseling Psychologist
- Atlanta, GA
- NPI 1376858100
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.