GSV Care Medical Clinic of Sherman, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GSV CARE MEDICAL CLINIC OF SHERMAN, LLC

Practice address

670 Highway 178 W
Suite 5
Sherman, MS 38869-7000

Phone

(662) 269-2151

Fax

(662) 269-2129

NPI assigned

Mar 30, 2015

Last updated

Jul 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Manda Griffin, DNP

Title

Nurse Practitioner

Phone

(662) 269-2151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1326433178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 302",
            "city": "SHERMAN",
            "state": "MS",
            "postal_code": "38869",
            "telephone_number": "662-269-2151",
            "fax_number": "662-269-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 HIGHWAY 178 W",
            "address_2": "SUITE 5",
            "city": "SHERMAN",
            "state": "MS",
            "postal_code": "388697000",
            "telephone_number": "662-269-2151",
            "fax_number": "662-269-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSV CARE MEDICAL CLINIC OF SHERMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MANDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-269-2151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01332041",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acute Care & Family Clinic of Sherman, LLC
• Avalon Medical LLC (Sherman Family Clinic)
• Boa Vida Hospital of Aberdeen, Ms, LLC (MRH Medical Group, GSV Sherman)
• Frances W. Herod LLC (Lower Crossing Medical Clinic)
• Cynthia Rena Kohliem, FNP-C
• Lower Crossing Pharmacy LLC (Sherman Drugs)
• Carly M Mahon, FNP-BC
• Ashley Pfahler, LCSW
• Sherman Family Clinic

• Family Nurse Practitioner in Sherman, MS
• Providers in Sherman, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.