Individual provider Active NPI

Roger P Sherman, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Hermitage, TN
National Provider Identifier
1588648638
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
50133 Issued in TN
Practice address
4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356
Phone
(615) 674-0909
Fax
(615) 334-0227
NPI assigned
Dec 2, 2005
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-110700 IL
Obstetrics & Gynecology Physician 207V00000X 50387 WI
Obstetrics & Gynecology Physician 207V00000X 50133 TN
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 50133 TN Primary

Addresses

Primary practice location

4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356

Mailing address

4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356
Phone (615) 674-0909

Other identifiers 2

IdentifierTypeStateIssuer
7100440670MedicaidKY
Q025394MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000218 TN Practitioner - Addiction MedicinePractitioner - General SurgeryPractitioner - Obstetrics/Gynecology 3173615747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4777 Andrew Jackson Pkwy
Suite 102
Hermitage, TN 37076-1356
Phone (615) 674-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-110700ILMDObstetrics & Gynecology Physician
50133TNMDObstetrics & Gynecology Physician
50387WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince Mar 1, 2020 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC Addiction Medicine CurrentSince Mar 1, 2020 Accepting new patients
Roger P. Sherman, M.D., P.L.L.C. Addiction Medicine CurrentSince Jul 29, 2016 Accepting new patients

Locations

4777 Andrew Jackson Pkwy
Ste 102
Hermitage, TN 37076
Phone (615) 674-0909

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

211 Donelson Pike
Ste 102
Nashville, TN 37214

211 Donelson Pike
Ste 109
Nashville, TN 37214
Phone (615) 674-0909

2201 Murphy Ave
Ste 103
Nashville, TN 37203
Phone (615) 327-3603

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1588648638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 ANDREW JACKSON PKWY STE 102",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761356",
            "telephone_number": "615-674-0909",
            "fax_number": "615-334-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 ANDREW JACKSON PKWY STE 102",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761356",
            "telephone_number": "615-674-0909",
            "fax_number": "615-334-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "ROGER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-110700",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "50387",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "50133",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "50133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100440670",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025394",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.