Organization Active NPI

John D. Sherrod, M.D., L.L.C.

  • Procedural Dermatology Physician
  • Daphne, AL
National Provider Identifier
1437334026
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
JOHN D. SHERROD, M.D., L.L.C.
Practice address
27625 Highway 98
Building B
Daphne, AL 36526-4816
Phone
(251) 300-2300
Fax
(251) 300-2301
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mr. Douglas C Taylor
Title
Office Manager
Phone
(251) 476-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

27625 Highway 98
Building B
Daphne, AL 36526-4816

Mailing address

27625 Highway 98
Building B
Daphne, AL 36526-4816
Phone (251) 300-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000391 AL Part B Supplier - Clinic/Group Practice 1759355167 Receives reassigned benefits from 1 practitioner
Practice locations: Daphne, AL

National Provider Directory

National Provider Directory

Locations

27625 US Highway 98
#B
Daphne, AL 36526
Phone (251) 300-2300

Practitioners & affiliated clinicians

Practitioners 3

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1437334026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27625 HIGHWAY 98",
            "address_2": "BUILDING B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-300-2300",
            "fax_number": "251-300-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27625 HIGHWAY 98",
            "address_2": "BUILDING B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-300-2300",
            "fax_number": "251-300-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. SHERROD, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-476-2481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.