Sheryll Angela Vincent, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

14014 Issued in MS

Practice address

5440 Watkins Dr
Ste a
Jackson, MS 39206-2034

Phone

(601) 981-3636

Fax

(601) 982-5335

NPI assigned

Apr 27, 2006

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

Other names 1

• Dr. Sheryll Angela Fletcher-Vincent Professional name

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1063479723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 WATKINS DR",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062034",
            "telephone_number": "601-981-3636",
            "fax_number": "601-982-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 WATKINS DR",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062034",
            "telephone_number": "601-981-3636",
            "fax_number": "601-982-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "SHERYLL",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MS",
            "license": "14014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116035",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYLL",
            "last_name": "FLETCHER-VINCENT",
            "middle_name": "ANGELA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Miguel Angel Villalobos Jr., M.D.
• Juan P Villani, M.D.
• Ashley Villarreal
• Fred Vilson
• Lynn Ann Vincent, ACNP
• Mischelle C Vining, DPT
• Vinod K Anand
• Demeara Virgil
• Healy Vise
• Trihnity Mehryiah Vise

• Allergy & Immunology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Allergy & Immunology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.