Sherwood Clinical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHRE007370 Issued in GA

Legal business name

SHERWOOD CLINICAL, LLC

Practice address

415 Fisk Ave
Demorest, GA 30535-6053

Phone

(706) 776-9127

Fax

(706) 894-2808

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Kathy Carter

Title

GM, Owner

Phone

(706) 776-9127

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1295919330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FISK AVE",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305356053",
            "telephone_number": "706-776-9127",
            "fax_number": "706-894-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FISK AVE",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305356053",
            "telephone_number": "706-776-9127",
            "fax_number": "706-894-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Zebulon Street",
            "address_purpose": "LOCATION",
            "city": "Barnesville",
            "state": "GA",
            "postal_code": "30204",
            "country_code": "US",
            "telephone_number": "770-358-6483",
            "fax_number": "770-358-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHERWOOD CLINICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "GM, OWNER",
        "authorized_official_telephone_number": "706-776-9127"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE007370",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "PHHH000008",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHHH000008",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GA",
            "license": "PHHH000008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00493688C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessika Elizabeth Runquist, MS
• Safeguard Emergency Physicians, LLC
• Floyd Stuart Sanders, MD
• Lois Sands, MA
• Kurt Michael Schulz, M.D.
• Sherwood Clinical, LLC
• Libbye D Sills, FNP-C
• Jamie L. Simpson, PA
• Melanie Hope Sims, MD
• Paramvir Singh, M.D.

• Durable Medical Equipment & Medical Supplies in Demorest, GA
• Providers in Demorest, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.