Active NPI
Sherilyn Michelle Donnelly, NP-C
- Family Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-123490
- Practice address
- 3065 Dauphin St
Mobile, AL 36606-4040 - Phone
- (251) 271-7017
- Fax
- (251) 220-5536
- NPI assigned
- Jan 14, 2013
- Last updated
- Jul 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-123490 | AL | Primary |
| Registered Nurse | 163W00000X | 1-123490 | AL |
Addresses
Primary practice location
3065 Dauphin St
Mobile, AL 36606-4040
Mailing address
PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730
Other practice location 1
24980 State St
Elberta, AL 36530-2573
Phone (251) 986-7301
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-123490 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elberta Clinic, PC | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Alabama, LLC | Family | Current | Accepting new patients |
Locations
1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022
24980 State St
Elberta, AL 36530
Phone (251) 201-7667
3065 Dauphin St
Mobile, AL 36606
Phone (251) 271-7017
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1770161432
Family
-
- Family Medicine Physician
- Elberta, AL
- NPI 1588752844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1689911414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746063",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746063",
"telephone_number": "312-733-9730",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064040",
"telephone_number": "251-271-7017",
"fax_number": "251-220-5536"
}
],
"practiceLocations": [
{
"address_1": "24980 State St",
"address_purpose": "LOCATION",
"city": "Elberta",
"state": "AL",
"postal_code": "365302573",
"country_code": "US",
"telephone_number": "251-986-7301",
"fax_number": "251-986-5927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLY",
"first_name": "SHERILYN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-14",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-123490",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-123490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.