Organization Active NPI

James C. Sherman MD PC

  • Surgery Physician
  • Martinez, GA
National Provider Identifier
1437245016
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
031122 Issued in GA
Legal business name
JAMES C. SHERMAN MD PC
Practice address
501 Blackburn Dr
Martinez, GA 30907-8201
Phone
(706) 854-8340
Fax
(706) 724-9562
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
James Carmichael Sherman, MDNPI 1447244264
Title
Physician
Phone
(706) 724-5451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 031122 GA Primary

Addresses

Primary practice location

501 Blackburn Dr
Martinez, GA 30907-8201

Mailing address

1430 B Harper Street
Augusta, GA 30901
Phone (706) 724-5451

Other practice location 1

1430 Harper St Ste B
Augusta, GA 30901-0619
Phone (706) 724-5451

Other identifiers 2

IdentifierTypeStateIssuer
GPA819MedicaidSC
00503731AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000363 GA Part B Supplier - Clinic/Group Practice 3678664000 Receives reassigned benefits from 1 practitioner
Practice locations: Martinez, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1437245016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 B HARPER STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-5451",
            "fax_number": "706-724-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BLACKBURN DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078201",
            "telephone_number": "706-854-8340",
            "fax_number": "706-724-9562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Harper St Ste B",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309010619",
            "country_code": "US",
            "telephone_number": "706-724-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES C. SHERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-01-21",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARMICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-724-5451",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "031122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA819",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00503731A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.