Active NPI
Sherry Annice Davis, NP-C
- Family Nurse Practitioner
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP050862
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 297-5700
- Fax
- (770) 718-1877
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN050862 | GA | |
| Family Nurse Practitioner | 363LF0000X | APRN-NP050862 | GA | Primary |
| Oncology Registered Nurse | 163WX0200X | RN050862 | GA |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other practice location 1
1515 River Pl Ste 140
Braselton, GA 30517-5603
Phone (770) 297-5700
Other practice location 2
1400 River Pl
Braselton, GA 30517-5600
Phone (770) 297-5700
Other practice location 3
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 297-5700
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1202662 | Other | GA | WELLCARE |
| 315377424C | Medicaid | GA | |
| 315377424D | Medicaid | GA | |
| 315377424E | Medicaid | GA | |
| 03774175 | Other | GA | AMERIGROUP |
| 050862 | Other | GA | GNL |
| 315377424F | Medicaid | GA | |
| 315377424C | Other | GA | PEACH STATE |
| 315377424E | Other | GA | PEACH STATE |
| 315377424D | Other | GA | PEACH STATE |
| 315377424F | Other | GA | PEACH STATE |
Other names 1
- Sherry Annice Harwell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1515 River PL
Suite 140
Braselton, GA 30517-5603
Phone (770) 297-5700
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Habersham
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP050862 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic, PC | Current | Accepting new patients | |
| The Longstreet Clinic PC | Current | Accepting new patients | |
| Gwinnett Dermatology PC D/B/a Georgia Dermatology Partners | Past | Accepting new patients |
Locations
1515 River Pl
Ste 140
Braselton, GA 30517
Phone (678) 987-1480
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
Interoperability endpoints
- sherry.davis@longstreetclinic.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1326019977
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1881583730
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
-
- Dermatology Physician
- Snellville, GA
- NPI 1477596203
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1184820128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-297-5700",
"fax_number": "770-718-1877"
}
],
"practiceLocations": [
{
"address_1": "1515 River Pl Ste 140",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175603",
"country_code": "US",
"telephone_number": "770-297-5700",
"fax_number": "770-718-1877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 River Pl",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175600",
"country_code": "US",
"telephone_number": "770-297-5700",
"fax_number": "770-718-1877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-297-5700",
"fax_number": "770-718-1877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SHERRY",
"middle_name": "ANNICE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN050862",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP050862",
"primary": true
},
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "GA",
"license": "RN050862",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1202662",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315377424C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315377424D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315377424E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "03774175",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GNL",
"identifier": "050862",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315377424F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "315377424C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "315377424E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "315377424D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "315377424F",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "HARWELL",
"middle_name": "ANNICE",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.