Individual provider Active NPI

Sherrie Lynn Wheeler

  • Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1508101312
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN135072 Issued in GA
Practice address
1321A Interstate Pkwy
Augusta, GA 30909-5626
Phone
(706) 738-7246
Fax
(706) 922-9267
NPI assigned
Dec 5, 2012
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17049 TN
Nurse Practitioner 363L00000X RN135072 GA Primary

Addresses

Primary practice location

1321A Interstate Pkwy
Augusta, GA 30909-5626

Mailing address

1321A Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 738-7246

Other practice location 1

1413 Chattanooga Ave
Dalton, GA 30720-2631
Phone (706) 279-2635

Other practice location 2

1107 Memorial Dr Ste 100
Dalton, GA 30720
Phone (706) 529-7124

Other identifiers 1

IdentifierTypeStateIssuer
RN135072OtherGAGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140605002189 GA Practitioner - Nurse Practitioner 1850545112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN135072GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Medical Home PC CurrentSince May 1, 2021 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1508101312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321A INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095626",
            "telephone_number": "706-738-7246",
            "fax_number": "706-922-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321A INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095626",
            "telephone_number": "706-738-7246",
            "fax_number": "706-922-9267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Chattanooga Ave",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202631",
            "country_code": "US",
            "telephone_number": "706-279-2635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Memorial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "30720",
            "country_code": "US",
            "telephone_number": "706-529-7124",
            "fax_number": "706-529-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SHERRIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17049",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN135072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA",
            "identifier": "RN135072",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.