Sheri Sullins Buckley, DNP, ANP-BC, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN123889 Issued in GA

Practice address

120 Oakside CT Ste H
Canton, GA 30114

Phone

(678) 880-8770

Fax

(770) 213-4418

NPI assigned

Jun 8, 2011

Last updated

Jul 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2435/brand/1/csg/1/fhir/r4
• Direct secure messaging: sheri.buckley.1@2435.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Mountain Endocrinology Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Canton, GA
  • NPI 1508188558
  NPD (past)
• Five Star Diagnostics LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Maylene, AL
  • NPI 1558894576
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1073807855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 DEVON BROOKE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886711",
            "telephone_number": "678-923-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKSIDE CT STE H",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "678-880-8770",
            "fax_number": "770-213-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "SHERI",
        "middle_name": "SULLINS",
        "credential": "DNP, ANP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN123889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN123889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ann Brown, MS PT
• Mitzi Dianne Brown, MA, LMHC, LPC
• Salvatore Adolfo Bruni, MD
• Sara Jane Bruton, NP
• Stephanie Diane Bruton, NP
• Casandra Buenger, N.P.
• Evelyn Burgos, LPC
• Lillie Burnett, APRN, BC
• Erica D Burns, PHARMD
• Caroline Rebecca Burrows, PAC

• Family Nurse Practitioner in Canton, GA
• Providers in Canton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.