Individual provider Active NPI

Sherocko Rieshell Gatling-James, FNP

  • Family Nurse Practitioner
  • Lilburn, GA
National Provider Identifier
1669594479
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN189854 Issued in GA
Practice address
956 Killian Hill Rd SW Ste B
Lilburn, GA 30047-8977
Phone
(770) 335-2434
Fax
(949) 862-1987
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN189854 GA Primary

Addresses

Primary practice location

956 Killian Hill Rd SW Ste B
Lilburn, GA 30047-8977

Mailing address

3860 Ryans Run Way SW
Lilburn, GA 30047-2232
Phone (770) 807-4710

Other practice location 1

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251205001281 GA Practitioner - Nurse Practitioner 7618466053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3860 Ryans Run Way SW
Lilburn, GA 30047-2232

956 Killian Hill Rd SW
Suite B
Lilburn, GA 30047-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN189854GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dot Medical Exams 4 U LLC CurrentSince Sep 20, 2025 Accepting new patients

Locations

956 Killian Hill Rd SW
Ste B
Lilburn, GA 30047
Phone (770) 335-2434

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1669594479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 RYANS RUN WAY SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472232",
            "telephone_number": "770-807-4710",
            "fax_number": "949-862-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 KILLIAN HILL RD SW STE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478977",
            "telephone_number": "770-335-2434",
            "fax_number": "949-862-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-6162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATLING-JAMES",
        "first_name": "SHEROCKO",
        "middle_name": "RIESHELL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.