NPIMap

Individual provider Active NPI

Jerry F Sherrill, M.D.

  • Neurology Physician
  • Clemson, SC
National Provider Identifier
1073587390
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16839 Issued in SC
Practice address
101 Chapman Hill Rd
Clemson, SC 29631
Phone
(864) 653-4071
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 16839 SC Primary

Addresses

Primary practice location

101 Chapman Hill Rd
Clemson, SC 29631

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6174

Other practice location 1

112 John St Ste 103
Easley, SC 29640-1405
Phone (864) 859-1510

Other practice location 2

112 John St Ste 103
Easley, SC 29640-1405
Phone (864) 859-1510

Other identifiers 3

IdentifierTypeStateIssuer
168393MedicaidSC
5252OtherSCMEDICAID GROUP EFFECTIVE 4-1-2013 5252 BAPTIST EASLEY HOSPITAL DBA CLEMSON NEUR
G9363OtherSCMEDICARE UPIN EFFECTIVE 4-1-2013 BAPTIST EASLEY HOSPITAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000547 SC Practitioner - Sleep MedicinePractitioner - NeurologyPractitioner - NephrologyPractitioner - Neuropsychiatry 6507837671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neuropsychiatry
Education
University of Alabama School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Chapman Hill Rd
Clemson, SC 29631-2194
Phone (864) 455-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16389SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Lake Ridge Neurological Neurology PastSince Jan 1, 2004 Accepting new patients
Neurology Assoc of Greenville Neurology PastSince Aug 1, 2001 Accepting new patients
Oconee Medical Center Past Accepting new patients

Locations

101 Chapman Hill Rd
Ste 101
Clemson, SC 29631
Phone (864) 653-4071

101 Chapman Hill Rd
Ste 201
Clemson, SC 29631
Phone (864) 653-4071

101 Chapman Hill Rd
Clemson, SC 29631
Phone (864) 653-4071

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Fleetwood Dr
#4
Easley, SC 29640

112 John St
Ste 103
Easley, SC 29640
Phone (864) 442-8000

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

Interoperability endpoints

  • Direct secure messaging: jsherrill50129@direct.ghs.myhfn.org

Organizations & group practices 5

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 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1073587390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHAPMAN HILL RD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631",
            "telephone_number": "864-653-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 John St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296401405",
            "country_code": "US",
            "telephone_number": "864-859-1510",
            "fax_number": "864-859-7421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 John St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296401405",
            "country_code": "US",
            "telephone_number": "864-859-1510",
            "fax_number": "864-859-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "JERRY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "16839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168393",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP EFFECTIVE 4-1-2013 5252  BAPTIST EASLEY HOSPITAL DBA CLEMSON NEUR",
            "identifier": "5252",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN EFFECTIVE 4-1-2013 BAPTIST EASLEY HOSPITAL",
            "identifier": "G9363",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.