Active NPI
Cheryl Evans Shedd, CNP
- Family Nurse Practitioner
- Oakwood, GA
National Provider Identifier
1578532115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN037691
- Practice address
- 3931 Mundy Mill Road
Oakwood, GA 30566-3431 - Phone
- (770) 503-1481
- Fax
- (770) 503-1520
- NPI assigned
- Mar 16, 2006
- Last updated
- Oct 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN037691 | GA | Primary |
Addresses
Primary practice location
3931 Mundy Mill Road
Oakwood, GA 30566-3431
Mailing address
601 S. Enota Drive
Suite Q
Gainesville, GA 30501-2400
Phone (770) 219-8420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00944897 | Medicaid | GA | |
| 00944897B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN037691 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Emergency Physicians LLC | Past | Accepting new patients | |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients | |
| Gwinnett Clinic LTD | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Demorest, GA
- NPI 1194776914
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1578532115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S. ENOTA DRIVE",
"address_2": "SUITE Q",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012400",
"telephone_number": "770-219-8420",
"fax_number": "770-219-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 MUNDY MILL ROAD",
"city": "OAKWOOD",
"state": "GA",
"postal_code": "305663431",
"telephone_number": "770-503-1481",
"fax_number": "770-503-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEDD",
"first_name": "CHERYL",
"middle_name": "EVANS",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN037691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00944897",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00944897B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.