Individual provider Active NPI

Monique M. Sherrill, M.D.

  • Family Medicine Physician
  • Fort Payne, AL
National Provider Identifier
1629019724
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.33738 Issued in AL
Practice address
1202 Gault Ave N
Fort Payne, AL 35967-3040
Phone
(256) 997-3434
NPI assigned
Jun 9, 2006
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MD.33738 NU
Family Medicine Physician 207Q00000X MD.33738 AL Primary

Addresses

Primary practice location

1202 Gault Ave N
Fort Payne, AL 35967-3040

Mailing address

906 Driver LN NW
Fort Payne, AL 35967-8212
Phone (256) 997-3434

Other practice location 1

90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5371

Other identifiers 8

IdentifierTypeStateIssuer
000000181880OtherOHUNISON MEDICAID #
001714111OtherMOUNTAIN STATE BCBS
2124507OtherOHMOLINA MEDICAID #
2124507MedicaidOH
6700078000MedicaidWV
000000504768OtherANTHEM BCBS
310917085071OtherOHCARESOURCE MEDICAID #
370013973OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190315000075 AL Practitioner - Family PracticePractitioner - Pediatric Medicine 8325143332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherrill Holdings, IncGroup PAC ID 6204175003, 2 clinicians

Practice addresses (Care Compare)

1202 Gault Ave N
Fort Payne, AL 35967-3040
Phone (256) 273-6827

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smitmar Health Entities Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients
Dr. Monique M Sherrill, LLC Current Accepting new patients
Sherrill Holdings, Inc Multi-Specialty CurrentSince Jan 9, 2019 Accepting new patients

Locations

443 Pine Ave SW
Decatur, AL 35601
Phone (256) 203-5713

1202 Gault Ave N
Fort Payne, AL
Phone (256) 273-6827

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encore Medical Spe & Family MedicineFort Payne, AL, CCN 018944 Rural health clinic Contracted Managing Employee
5% Or Greater Direct Ownership Interest
Dec 17, 2019
Dec 17, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1629019724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 DRIVER LN NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359678212",
            "telephone_number": "256-997-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673040",
            "telephone_number": "256-997-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Jackson Pike",
            "address_purpose": "LOCATION",
            "city": "Gallipolis",
            "state": "OH",
            "postal_code": "456311560",
            "country_code": "US",
            "telephone_number": "740-446-5371",
            "fax_number": "740-446-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "MONIQUE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": "MD.33738",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON MEDICAID #",
            "identifier": "000000181880",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001714111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA MEDICAID #",
            "identifier": "2124507",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2124507",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700078000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000504768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE MEDICAID #",
            "identifier": "310917085071",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "370013973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.