Sherry Lorraine Anderson, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN107552 Issued in GA

Practice address

610 19TH St
Columbus, GA 31901-1528

Phone

(706) 322-7884

Fax

(706) 243-4356

NPI assigned

Feb 28, 2007

Last updated

Jul 30, 2015By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in GA

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

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas Dermatology and Skin Cancer Specialists LLCGroup PAC ID 1658680764, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sherry.anderson@gadirect.net
• Direct secure messaging: sherry.anderson@sfhga.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas Dermatology and Skin Cancer Specialists LLC

  • Dermatology Physician
  • Douglasville, GA
  • NPI 1275929267
  Medicare reassignment Care Compare group NPD
• St Francis Affiliated Services LLC

  dba St Francis Columbus Clinic

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1912371220
  Medicare reassignment NPD
• Columbus Clinic, P.C.

  • Clinic/Center
  • Columbus, GA
  • NPI 1609863133
  NPD
• Mac - Macon Road LLC

  • Clinic/Center
  • Columbus, GA
  • NPI 1053599043
  NPD
• St Francis Affiliated Services LLC

  dba St. Francis Columbus Specialty Clinic

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1598130932

  Family

  NPD
• St Francis Affiliated Services LLC

  dba Midtown Acute Care

  • Urgent Care Clinic/Center
  • Columbus, GA
  • NPI 1821462136
  NPD
• St. Francis Psychiatrist ,LLC

  • Psychiatry Physician
  • Columbus, GA
  • NPI 1619129541
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1386772622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9247",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089247",
            "telephone_number": "706-322-7884",
            "fax_number": "706-243-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011528",
            "telephone_number": "706-322-7884",
            "fax_number": "706-243-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHERRY",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN107552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN107552",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20250I2271",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281611730D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Anderson, RBT
• Mindi M Anderson
• Peter E Anderson, MD
• Qamoriyon Anderson, RBT
• Shanetrea Anderson, RBT
• Tadaysheanna J Anderson, RBT
• Tamika Anderson
• Terri Anderson
• Terriana Anderson
• Travis Curtis Anderson, MD

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.