Angela Carter Sheridan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1013 Issued in SC

Practice address

606 Black River Rd
Georgetown, SC 29440-3304

Phone

(843) 651-0044

Fax

(843) 357-0766

NPI assigned

Sep 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Merit-based Incentive Payment System (MIPS)

Final score

80.46 of 100Reported as group

Quality

47.5

Promoting interoperability

100

Improvement activities

40

Cost

83.42

Merit-based Incentive Payment System (MIPS)

Final score

88.55 of 100Reported as group

Quality

85

Promoting interoperability

100

Improvement activities

40

Cost

76.83

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Georgetown Memorial Hospital

  dba Tidelands Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021
  Medicare reassignment NPD
• Tidelands GHS Joint Venture LLC

  dba Tidelands Community Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Georgetown, SC
  • NPI 1669878559
  Medicare reassignment NPD
• Waccamaw Community Hospital

  dba Tidelands Waccamaw Community Hospital

  • General Acute Care Hospital
  • Murrells Inlet, SC
  • NPI 1972503910
  Medicare reassignment NPD
• Georgetown Memorial Hospital

  dba Tidelands Health Skilled Care

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056
  NPD
• Tidelands GHS Joint Venture LLC

  dba Tidelands Community Hospice

  • Community Based Hospice Care Agency
  • Georgetown, SC
  • NPI 1154303089
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1043460215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HIGHMARKET ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403530",
            "telephone_number": "843-833-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403304",
            "telephone_number": "843-651-0044",
            "fax_number": "843-357-0766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2591 N Fraser St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294406411",
            "country_code": "US",
            "telephone_number": "843-546-3410",
            "fax_number": "843-527-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ANGELA",
        "middle_name": "CARTER",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1352",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.sheridan@georgetown.direct.schiex.state.sc.us",
            "affiliation": "N",
            "address_1": "4111 Murrells Inlet Rd",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295766208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serenity Dove Home Care, LLC
• Heather Denise Sharpe, PHARMD
• William A Shaver, M.D.
• Larry E. Sheehan, DMD
• Susan Sheppard-Carolina
• Sara Beth Shields Tarwater
• Cynthia L Shields, CRNA
• David Monroe Shipp Jr., PHARM.D
• Victor Sidhom, M.D.
• Dana Leigh Skokowski

• Family Nurse Practitioner in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.