Sherry a. Martin Endocrine Clinic

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

09923 Issued in MS

Legal business name

SHERRY A. MARTIN ENDOCRINE CLINIC

Practice address

607 Garfield St
Tupelo, MS 38801-6337

Phone

(662) 840-5200

Fax

(662) 840-8216

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Sherry Alcorn Martin, M.D.NPI 1710988977

Title

M.D.

Phone

(662) 840-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherry Alcorn Martin, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tupelo, MS
  • NPI 1710988977
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336140847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 GARFIELD ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016337",
            "telephone_number": "662-840-5200",
            "fax_number": "662-840-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY A. MARTIN ENDOCRINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ALCORN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "662-840-5200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "09923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110890",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nickeda D Shelton, LPC, NCC,NCSC
• Stacey Elizabeth Shelton, D.M.D
• Tyneshia Shelton
• Mark D Shepherd, M.D.
• Diane Michelle Sherrod, M.S.C.E.
• Porsha Shields
• Abderezak Shifa
• Charmen Leigh Shoemaker, LMSW
• Latesha Short
• Madison G Shumpert, PA-C

• Endocrinology, Diabetes & Metabolism Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.