Active NPI
Sherrie Lynn Wheeler
- Nurse Practitioner
- Augusta, GA
National Provider Identifier
1508101312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN135072
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN135072 | Other | GA | GA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN135072 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Medical Home PC | Current | 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.
-
- Internal Medicine Physician
- Evans, GA
- NPI 1114587763
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.