Organization Active NPI

Philip a. Sherman, M.D.

  • Primary Care Clinic/Center
  • Union City, TN
National Provider Identifier
1043416134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14467 Issued in TN
Legal business name
PHILIP A. SHERMAN, M.D.
Practice address
1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047
Phone
(731) 886-1252
Fax
(731) 886-1261
NPI assigned
Jun 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip A Sherman, M.D.NPI 1184623464
Title
Doctor
Phone
(731) 886-1252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 14467 TN Primary

Addresses

Primary practice location

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047

Mailing address

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047
Phone (731) 886-1252

Other identifiers 3

IdentifierTypeStateIssuer
1184623464OtherTNPHILIP SHERMAN, NPI #
1619977584OtherTNRENEA TERRELL NPI #
3373774MedicaidTN

National Provider Directory

National Provider Directory

Locations

1720 E Reelfoot Ave
Ste 103
Union City, TN 38261
Phone (731) 885-6600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043416134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-886-1252",
            "fax_number": "731-886-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-886-1252",
            "fax_number": "731-886-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A. SHERMAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "731-886-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "14467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHILIP SHERMAN, NPI #",
            "identifier": "1184623464",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENEA TERRELL NPI #",
            "identifier": "1619977584",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373774",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.