Jackie Steve Sherrer Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00017149 Issued in AL

Practice address

301 Westgate Pkwy
Dothan, AL 36303-2962

Phone

(334) 793-2120

Fax

(334) 671-0228

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Primecare of Dothan, PC

  • Primary Care Clinic/Center
  • Dothan, AL
  • NPI 1487726626
  NPD (past) Authorized official
• Primeteam, Inc.

  • Primary Care Clinic/Center
  • Dothan, AL
  • NPI 1013199074
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104894740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8397",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363040397",
            "telephone_number": "334-793-2120",
            "fax_number": "334-671-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032962",
            "telephone_number": "334-793-2120",
            "fax_number": "334-671-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRER",
        "first_name": "JACKIE",
        "middle_name": "STEVE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00017149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelor & Hundley Urology PC
• Anna Shelor, MS, OTR/L
• Sheridan Children'S Services of Alabama, Inc
• Sheridan Rop Services of Alabama, Inc.
• Brian Sherman, CRNP
• Kelly S. Sherrill, CRNP
• Mark E Shertzer, MD
• Gregory William Shields, MD
• Ryan Shingler, D.O.
• Janice Danielle Shirah

• All providers in Dothan, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.