Individual provider Active NPI

Bozeman K Sherwood, MD

  • Emergency Medicine Physician
  • Evans, GA
National Provider Identifier
1043325467
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
026379 Issued in GA
Practice address
447 N Belair Rd Ste 101
Evans, GA 30809
Phone
(706) 854-2222
Fax
(706) 854-2223
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 026379 GA Primary

Addresses

Primary practice location

447 N Belair Rd Ste 101
Evans, GA 30809

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215
Phone (706) 828-8049

Other practice location 2

4720 Washington Rd
Evans, GA 30809-5875
Phone (706) 650-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080512000466 SC Practitioner - Family Practice 4486733748 Reassigns benefits to 3 organizations
I20101015000332 GA Practitioner - General Practice 4486733748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

107 Walnut LN
Suite 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

95 Collier Rd NW
Suite 4045
Atlanta, GA 30309-1749
Phone (404) 351-2270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16989SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
University Health Care Physicians LLC Emergency Medicine Current Accepting new patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Nov 27, 2023 Accepting new patients
University Primary Care Current Accepting new patients
University Medical Group LLC Family Medicine CurrentSince Dec 4, 2018 Accepting new patients
University Prompt Care Current Accepting new patients
Hardeeville Medical Group, LLC Past Accepting new patients
Mid-Island Primary and Urgent Care, LLC Family Medicine Past Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Urgent MD Healthcare Services, P.C. Past Accepting new patients
Bluffton Okatie Primary Care, LLC Family Medicine PastSince Apr 13, 2010 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

447 N Belair Rd
Ste 104
Evans, GA 30809
Phone (706) 854-2180

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

4720 Washington Rd
Evans, GA 30809
Phone (706) 650-0111

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

660 Cherokee St NE
Ste 100
Marietta, GA 30060
Phone (678) 797-8201

3515 Richland Ave W
Aiken, SC 29801
Phone (803) 502-5527

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

107 Walnut Ln
#102
North Augusta, SC 29860
Phone (803) 202-7110

Interoperability endpoints

  • Direct secure messaging: bozeman.sherwood.p21@direct.tenet.nextgenshare.com

Organizations & group practices 12

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 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1043325467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N BELAIR RD STE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095875",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "BOZEMAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "026379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.