Sheridan Carroll

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.009055RX Issued in OH

Practice address

11100 State Route 41
West Union, OH 45693-8806

Phone

(937) 550-3657

NPI assigned

Apr 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adams County Regional Medical CenterGroup PAC ID 8921431131, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sheridan.carroll.1@18549.direct.athenahealth.com

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

• Adams County Regional Medical Center

  • Critical Access Hospital
  • Seaman, OH
  • NPI 1851946909

  OH, Single Specialty

  Medicare reassignment Care Compare group NPD
• Adams County Regional Medical Center

  • Rural Health Clinic/Center
  • Peebles, OH
  • NPI 1114640240
  Care Compare group NPD
• Adams County Regional Medical Center

  • Rural Health Clinic/Center
  • Winchester, OH
  • NPI 1467000471
  Care Compare group NPD (past)
• Adams County Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Seaman, OH
  • NPI 1114575560
  Care Compare group
• Adams County Regional Medical Center

  • Rural Health Clinic/Center
  • West Union, OH
  • NPI 1215574504
  Care Compare group
• Adams County Regional Medical Center

  • Rural Health Clinic/Center
  • Georgetown, OH
  • NPI 1629628920
  Care Compare group
• Adams County Regional Medical Center

  • Rural Health Clinic/Center
  • Mount Orab, OH
  • NPI 1942974332
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adams County Regional Medical Center

  • Critical Access Hospital
  • Seaman, OH
  • NPI 1851946909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1447005392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 STATE ROUTE 41",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456938806",
            "telephone_number": "937-550-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 STATE ROUTE 41",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456938806",
            "telephone_number": "937-550-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SHERIDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009055RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Cahall, PT
• Samantha Campbell
• Richard Cardella, MD
• Susan Carlen
• Catherine Carroll
• Laura Case
• Cedar Valley Medical Associates, Inc.
• Central Adams Joint Fire and EMS District
• Kristen Michelle Chaney
• Vonda Chaney

• All providers in West Union, OH
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.