Individual provider Active NPI

Elizabeth Sheridan, PAC

  • Physician Assistant
  • La Place, LA
National Provider Identifier
1669527404
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10425 Issued in GA
Practice address
1900 W Airline Hwy
La Place, LA 70068-3338
Phone
(985) 652-7000
Fax
(985) 652-5161
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 311852 LA
Physician Assistant 363A00000X 10425 GA Primary
Medical Physician Assistant 363AM0700X PA 9103416 FL
Physician Assistant 363A00000X 010242 NY

Addresses

Primary practice location

1900 W Airline Hwy
La Place, LA 70068-3338

Mailing address

11758 Jones Bridge Rd
Johns Creek, GA 30005-5065
Phone (770) 772-1830

Other practice location 1

11758 Jones Bridge Rd
Johns Creek, GA 30005-5065
Phone (770) 772-1830

Other practice location 2

1401 W Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 324-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, IL, OH, MI, IN, PA, GA8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20050127000968 NY Practitioner - Physician Assistant 3375593734 Reassigns benefits to 1 organization
I20081126000563 FL Practitioner - Physician Assistant 3375593734 Reassigns benefits to 3 organizations
I20220106000763 IL Practitioner - Physician Assistant 3375593734 Reassigns benefits to 2 organizations
I20220204000649 OH Practitioner - Physician Assistant 3375593734 Reassigns benefits to 1 organization
I20220309000418 MI Practitioner - Physician Assistant 3375593734 Reassigns benefits to 2 organizations
I20230501002940 IN Practitioner - Physician Assistant 3375593734 Reassigns benefits to 1 organization
I20231026004073 PA Practitioner - Physician Assistant 3375593734 Reassigns benefits to 1 organization
I20231122001943 GA Practitioner - Physician Assistant 3375593734 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

2450 Old Milton Pkwy
Alpharetta, GA 30009-2520

3980 Jiles Rd NW
Kennesaw, GA 30144-1109
Phone (678) 504-0100

4477 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-6720
Phone (770) 249-5620

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
83.37
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
311852LAMDPhysician Assistant
PA 9103416FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Oct 1, 2016 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2018 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Feb 15, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Feb 15, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Oct 1, 2016 Accepting new patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2018 Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients
Clover Emergency Physicians LLC Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Best Care Emergency Physicians LLC Past Accepting new patients
Timucua Emergency Physicians, LLC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Long Island College Hospital Physician Assistant Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Lich Faculty Practice Physician Assistant Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1669527404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11758 JONES BRIDGE RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055065",
            "telephone_number": "770-772-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W AIRLINE HWY",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683338",
            "telephone_number": "985-652-7000",
            "fax_number": "985-652-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11758 Jones Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300055065",
            "country_code": "US",
            "telephone_number": "770-772-1830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327716743",
            "country_code": "US",
            "telephone_number": "407-324-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ELIZABETH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "311852",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10425",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103416",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.