Active NPI
Monique M. Sherrill, M.D.
- Family Medicine Physician
- Fort Payne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.33738
- Practice address
- 1202 Gault Ave N
Fort Payne, AL 35967-3040 - Phone
- (256) 997-3434
- NPI assigned
- Jun 9, 2006
- Last updated
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000181880 | Other | OH | UNISON MEDICAID # |
| 001714111 | Other | MOUNTAIN STATE BCBS | |
| 2124507 | Other | OH | MOLINA MEDICAID # |
| 2124507 | Medicaid | OH | |
| 6700078000 | Medicaid | WV | |
| 000000504768 | Other | ANTHEM BCBS | |
| 310917085071 | Other | OH | CARESOURCE MEDICAID # |
| 370013973 | Other | OH | RR 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smitmar Health Entities | Multi-Specialty | Current | Accepting new patients |
| Dr. Monique M Sherrill, LLC | Current | Accepting new patients | |
| Sherrill Holdings, Inc | Multi-Specialty | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Encore Medical Spe & Family Medicine | 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.
-
dba Encore Medical Spa
- Clinic/Center
- Fort Payne, AL
- NPI 1811460678
5% Or Greater Direct Ownership Interest, Contracted Managing Employee
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.
-
dba Encore Medical Spa
- Clinic/Center
- Fort Payne, AL
- NPI 1811460678
Multi-Specialty
-
dba Kidz Planet Urgent Care
- Urgent Care Clinic/Center
- Decatur, AL
- NPI 1740899111
Multi-Specialty
-
- Clinic/Center
- Fort Payne, AL
- NPI 1790257459
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DeKalb Regional Medical Center
- General Acute Care Hospital
- Fort Payne, AL
- NPI 1770344665
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.