Sherwood Clinical, LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

PHRE007370 Issued in GA

Legal business name

SHERWOOD CLINICAL, LLC

Practice address

415 Fisk Ave
Demorest, GA 30535-6053

Phone

(706) 776-9127

Fax

(706) 776-9027

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Kathy Carter

Title

GM, Owner

Phone

(706) 776-9127

Specialties & licenses 3

Addresses

Other identifiers 5

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1477539609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FISK AVE",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305356053",
            "telephone_number": "706-776-9127",
            "fax_number": "706-776-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FISK AVE",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305356053",
            "telephone_number": "706-776-9127",
            "fax_number": "706-776-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD CLINICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "GM, OWNER",
        "authorized_official_telephone_number": "706-776-9127"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "GA",
            "license": "PHRE007370",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "PHRE007370",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE007370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1191",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "52064755001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5962021",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00493688B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7G7370",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safeguard Emergency Physicians, LLC
• Floyd Stuart Sanders, MD
• Lois Sands, MA
• Kurt Michael Schulz, M.D.
• Sherwood Clinical, LLC
• Libbye D Sills, FNP-C
• Jamie L. Simpson, PA
• Melanie Hope Sims, MD
• Paramvir Singh, M.D.
• Daniel Bryce Skipper, CRNA

• Home Infusion Agency in Demorest, GA
• Providers in Demorest, GA by specialty
• Home Infusion Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.