Active NPI
Sherri Gholston, FNP-C
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1699463091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN189118
- Practice address
- 477 Windsor St SW
Atlanta, GA 30312-2530 - Phone
- (404) 688-9202
- NPI assigned
- Apr 25, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN189118 | GA | Primary |
Addresses
Primary practice location
477 Windsor St SW
Atlanta, GA 30312-2530
Mailing address
2805 Clearwater Ter SE
Conyers, GA 30013-2485
Phone (706) 329-8007
Other names 1
- Sherri Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN189118 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1699463091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 CLEARWATER TER SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132485",
"telephone_number": "706-329-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 WINDSOR ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303122530",
"telephone_number": "404-688-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOLSTON",
"first_name": "SHERRI",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN189118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRI",
"last_name": "JONES",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.