Individual provider Active NPI

Sherry Suzanne Grooms, NP

  • Nurse Practitioner
  • Beavercreek, OH
National Provider Identifier
1528043106
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
263353 Issued in OH
Practice address
3572 Dayton Xenia Rd
Suite 105
Beavercreek, OH 45432-2886
Phone
(937) 427-4600
Fax
(937) 427-4520
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 263353 OH Primary

Addresses

Primary practice location

3572 Dayton Xenia Rd
Suite 105
Beavercreek, OH 45432-2886

Mailing address

6021 Dayton Rd
Springfield, OH 45502-9163
Phone (937) 864-0503

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051107000619 OH Practitioner - Nurse Practitioner 5799703930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Leo Dermatology, LLCGroup PAC ID 5991932709, 3 clinicians

Practice addresses (Care Compare)

7185 Dayton Springfield Rd
Enon, OH 45323-1442
Phone (937) 836-0083

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as individual
Quality
77.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263353OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dermatologists of Southwestern Ohio, LLC. PastSince Oct 1, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6567/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sherry.grooms.1@6567.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528043106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 DAYTON RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029163",
            "telephone_number": "937-864-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3572 DAYTON XENIA RD",
            "address_2": "SUITE 105",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322886",
            "telephone_number": "937-427-4600",
            "fax_number": "937-427-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "SHERRY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "263353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.