Angelina Sheridan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

305 Grady Rd Ste B
Etowah, TN 37331-1911

Phone

(423) 263-0722

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Angie Sheridan Other name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asheridan@lfm.gwaydirect.com
• Direct secure messaging: angelina.sheridan@lfm.directbygreenway.com

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.

• Erlanger Health

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1477256303

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Athens Physicians Practice, LLC

  • Orthopaedic Surgery Physician
  • Athens, TN
  • NPI 1689055774

  Family Medicine

  Medicare reassignment NPD (past)
• Athens Physicians Practice LLC

  • Rural Health Clinic/Center
  • Charleston, TN
  • NPI 1255113486
  NPD
• Athens Physicians Practice LLC

  • Rural Health Clinic/Center
  • Etowah, TN
  • NPI 1508627175
  NPD
• Erlanger Health

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1740073329
  NPD
• Athens Physicians Practice LLC

  • Family Medicine Physician
  • Athens, TN
  • NPI 1073532123
  NPD (past)
• Chattanooga Hamilton County Hospital Authority

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1154751931

  Family Medicine

  NPD (past)

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

• Erlanger Health

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1861194086
  Care Compare affiliation

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295124618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BRYAN DR",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373216268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 GRADY RD STE B",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311911",
            "telephone_number": "423-263-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ANGELINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "2699",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295124618",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511366",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13510582",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "4207616",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "SHERIDAN",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Proclaim in Jesus Name
• Sasha Ramirez
• Joel Craig Riley II, MD
• Frank Al Rymer, D.O.
• Gizachew Asefa Seyoum
• Garry Stephen Shipp, RPH
• Soni & Soni M.D. P.C.
• Soni and Soni Pediatrics and Surgery
• Southeastern Health Facilities Inc
• Whitney Lynn Stubbs

• Physician Assistant in Etowah, TN
• Providers in Etowah, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.