Individual provider Active NPI

Sheryl Ann Olson, NP

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1528297736
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN143016 Issued in GA
Practice address
1505 Northside Blvd
Ste 3000
Cumming, GA 30041-7623
Phone
(770) 886-0036
Fax
(770) 886-6677
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN143016 GA Primary

Addresses

Primary practice location

1505 Northside Blvd
Ste 3000
Cumming, GA 30041-7623

Mailing address

1505 Northside Blvd
Ste 3000
Cumming, GA 30041-7623
Phone (770) 886-0036

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
I20091230000043 GA Practitioner - Nurse Practitioner 0446390215 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

4398 Atlanta Hwy
Loganville, GA 30052-7314
Phone (678) 732-1519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN143016GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Georgia CurrentSince Jul 28, 2012 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Apr 3, 2017 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Apr 3, 2017 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince May 1, 2012 Accepting new patients
Piedmont Medical Care Corporation CurrentSince Oct 1, 2024 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1505 Northside Blvd
Ste 3000
Cumming, GA 30041
Phone (770) 886-0036

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516

4398 Atlanta Hwy
Loganville, GA 30052
Phone (678) 639-0213

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531

551 N Cherokee Rd
Social Circle, GA 30025
Phone (678) 342-6000

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1528297736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD",
            "address_2": "STE 3000",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417623",
            "telephone_number": "770-886-0036",
            "fax_number": "770-886-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD",
            "address_2": "STE 3000",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417623",
            "telephone_number": "770-886-0036",
            "fax_number": "770-886-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN143016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.