Jessica Helena Sherrard

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60064 Issued in GA

Practice address

296 Mechants Square
Dallas, GA 30132

Phone

(470) 668-4536

Fax

(470) 592-6581

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1649929795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "866-610-0580",
            "fax_number": "407-588-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 MECHANTS SQUARE",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30132",
            "telephone_number": "470-668-4536",
            "fax_number": "470-592-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRARD",
        "first_name": "JESSICA",
        "middle_name": "HELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-22-60064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Sheets, DMD
• Emily Elizabeth Shepherd, M. ED. CCC-SLP
• Gregory Scott Shepherd, D.C.
• Latoya Lashelle Shepherd
• Kelsey Shepperd, RD
• Petal Shields
• Bobby Thomas Shirley, D.M.D.
• Amara Shobe
• Devan Nicole Sikes, FNP
• Tiffany Simmons

• Behavior Analyst in Dallas, GA
• Providers in Dallas, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.