NPIMap

Individual provider Active NPI

Jonathan Michael Sherrill, D.O.

  • Internal Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1275928301
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO1684 Issued in AL
Practice address
850 Peter Bryce Blvd
Tuscaloosa, AL 35401
Phone
(205) 348-1770
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X DO1684 AL Primary

Addresses

Primary practice location

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

Mailing address

2451 Fillingim St # 7TH
Mobile, AL 36617-2238
Phone (251) 471-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180130003025 AL Practitioner - Internal Medicine 8426354135 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians

Practice addresses (Care Compare)

1601 University Blvd E
Tuscaloosa, AL 35404-2920
Phone (205) 349-2273

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 758-6647

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Dec 15, 2024 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jul 1, 2018 Accepting new patients
The DCH Healthcare Authority Current Accepting new patients
Southeast Physician Network, P.C. CurrentSince May 1, 2024 Accepting new patients
Greater Mobile Urgent Care CurrentSince Dec 6, 2017 Accepting new patients
Whatley Health Services Inc CurrentSince Jun 15, 2018 Accepting new patients
Southeast Physician Network, P.C. CurrentSince May 1, 2024 Accepting new patients
Greater Mobile Urgent Care CurrentSince Dec 6, 2017 Accepting new patients
Whatley Health Services, Inc. CurrentSince Jun 15, 2018 Accepting new patients
Gmuc of Springhill LLC CurrentSince Dec 6, 2017 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jul 1, 2018 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

1601 University Blvd E
Tuscaloosa, AL 35404
Phone (205) 349-2273

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

Interoperability endpoints

  • Direct secure messaging: jonathan.sherrill.p1@direct.umc.nextgenshare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1275928301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST # 7TH",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-348-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.