Active NPI
Elizabeth Sheridan, PAC
- Physician Assistant
- La Place, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10425
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
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
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 100
- Quality
- 83.37
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311852 | LA | MD | Physician Assistant |
| PA 9103416 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Adventist Health System/Sunbelt, Inc. | Physician Assistant | Current | 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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1487381349
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Emergency Medicine Physician
- Roswell, GA
- NPI 1053456954
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Physician Assistant
-
- Urgent Care Clinic/Center
- Winter Park, FL
- NPI 1770770562
Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.