Individual provider Active NPI

Sherie Nicole Byrd, M.D.

  • Pediatrics Physician
  • Acworth, GA
National Provider Identifier
1154740702
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
078410 Issued in GA
Practice address
4550 Cobb Parkway North NW Ste 302
Acworth, GA 30101-4182
Phone
(770) 917-8188
Fax
(770) 974-0598
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 078410 GA Primary

Addresses

Primary practice location

4550 Cobb Parkway North NW Ste 302
Acworth, GA 30101-4182

Mailing address

4550 Cobb Parkway North NW Ste 302
Acworth, GA 30101-4182
Phone (770) 917-8188

Other practice location 1

3644 Highlands Pkwy SE
Smyrna, GA 30082-5184
Phone (404) 446-3960

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbyrd143503@directwellstar.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210123000048 GA Practitioner - Pediatric Medicine 1254559974 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
078410GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Medical Center, Inc CurrentSince Nov 1, 2020 Accepting new patients
Southside Medical Center, Inc. CurrentSince Nov 1, 2020 Accepting new patients
West Vinings Pediatric Group, P.C. Pediatrics PastSince Jul 24, 2022 Accepting new patients

Locations

1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942

Interoperability endpoints

  • Direct secure messaging: sbyrd143503@directwellstar.org
  • Direct secure messaging: sherie.byrd.p1@direct.smcmed.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1154740702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW STE 302",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014182",
            "telephone_number": "770-917-8188",
            "fax_number": "770-974-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW STE 302",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014182",
            "telephone_number": "770-917-8188",
            "fax_number": "770-974-0598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3644 Highlands Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300825184",
            "country_code": "US",
            "telephone_number": "404-446-3960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "SHERIE",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "078410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbyrd143503@directwellstar.org",
            "affiliation": "N",
            "address_1": "4550 Cobb Parkway North NW Ste 302",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.