Individual provider Active NPI

Amalia McSherry, FNP

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1164865168
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP227080 Issued in GA
Practice address
125 Clairemont Ave
Decatur, GA 30030-2558
Phone
(404) 748-9691
NPI assigned
Apr 10, 2013
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP227080 GA Primary
Family Nurse Practitioner 363LF0000X 209009941 IL

Addresses

Primary practice location

125 Clairemont Ave
Decatur, GA 30030-2558

Mailing address

825 Highland LN NE
#1308
Atlanta, GA 30306-4386
Phone (630) 707-7713

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002007 GA Practitioner - Nurse Practitioner 2365731817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP227080GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Medical Center, Inc. CurrentSince Apr 8, 2021 Accepting new patients
Southside Medical Center, Inc CurrentSince Apr 8, 2021 Accepting new patients
Childfren's Medical Group, P.C. PastSince Oct 21, 2025 Accepting new patients
Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: amcsherry62423@choa.gadirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1164865168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HIGHLAND LN NE",
            "address_2": "#1308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064386",
            "telephone_number": "630-707-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302558",
            "telephone_number": "404-748-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHERRY",
        "first_name": "AMALIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP227080",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.