Active NPI
Sheryl Guffin Clem, CRNP
- Nurse Practitioner
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-099778
- Practice address
- 4715 Whitesburg Dr SE
Huntsville, AL 35802-1632 - Phone
- (256) 881-5151
- Fax
- (256) 880-3939
- NPI assigned
- Feb 22, 2008
- Last updated
- Feb 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-099778 | AL | Primary |
Addresses
Primary practice location
4715 Whitesburg Dr SE
Huntsville, AL 35802-1632
Mailing address
4715 Whitesburg Dr SE
Huntsville, AL 35802-1632
Phone (256) 327-5800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-099778 | Other | AL | LICENSE |
| 134709 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.sportsmedalabama.com/ | Other |
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.66 of 100
- Quality
- 90
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-099778 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed Orthopaedic Specialists | Current | Accepting new patients | |
| Sportsmed Orthopaedic Specialists, PC | Current | Accepting new patients | |
| Center for Cancer Care LLC | Past | Accepting new patients | |
| Chestmed, PC | Past | Accepting new patients | |
| HH Physicians Network | Past | Accepting new patients |
Locations
22423 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 230-9607
4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500
33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327
Organizations & group practices 5
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.
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- NPI 1790826816
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- NPI 1073538732
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- Specialist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1669641874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 WHITESBURG DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021632",
"telephone_number": "256-327-5800",
"fax_number": "256-327-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 WHITESBURG DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021632",
"telephone_number": "256-881-5151",
"fax_number": "256-880-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEM",
"first_name": "SHERYL",
"middle_name": "GUFFIN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-099778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1-099778",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134709",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.sportsmedalabama.com/",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Website",
"address_1": "4715 Whitesburg Dr SE",
"city": "Huntsville",
"state": "AL",
"country_code": "US",
"postal_code": "358021632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.