Sherrell W Nunnelley II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16802 Issued in KY

Practice address

309 11TH St
Carrollton, KY 41008-1435

Phone

(502) 732-3221

Fax

(502) 732-3257

NPI assigned

Mar 21, 2007

Sex

Male

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 KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CCMH Corporation

  • Critical Access Hospital
  • Carrollton, KY
  • NPI 1225159601
  Medicare reassignment NPD
• CCMH Corporation

  • Rural Health Clinic/Center
  • Warsaw, KY
  • NPI 1598798407

  Family Medicine

  NPD
• CCMH Corporation

  • Community/Retail Pharmacy
  • Carrollton, KY
  • NPI 1760149413
  NPD
• CCMH Corporation

  • Rural Health Clinic/Center
  • Carrollton, KY
  • NPI 1558585091
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1184740243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3221",
            "fax_number": "502-732-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3221",
            "fax_number": "502-732-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNELLEY",
        "first_name": "SHERRELL",
        "middle_name": "W",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KY",
            "license": "16802",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "16802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mortenson Family Dental Center- Carrollton PLLC
• Mystyk River Retreat Center, LLC
• New Green Valley Health & Rehabilitation Center, LLC
• John Thornton Newcomb, DMD
• Norton King'S Daughters' Health Inc
• Ohio River Emergency Physicians LLC
• Annabelle Parsons
• Lauren Perkins, BCBA
• Jeannine Marie Perrenoud, D.O.
• Philip V Habas DMD PSC

• Family Medicine Physician in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.