Individual provider Active NPI

Julia Kristina Catherine Sherrill, M.D.

  • Family Medicine Physician
  • Lenoir, NC
National Provider Identifier
1699938159
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014-02281 Issued in NC
Practice address
902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone
(828) 754-0101
Fax
(828) 757-0402
NPI assigned
Jul 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N7875 TX
Family Medicine Physician 207Q00000X LL31130 SC
Family Medicine Physician 207Q00000X 2014-02281 NC Primary

Addresses

Primary practice location

902 Kirkwood Ave NW
Lenoir, NC 28645-5121

Mailing address

415 Shady Bark LN
Boone, NC 28607-8086
Phone (828) 406-9689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225001555 NC Practitioner - Family Practice 2163695974 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T4 Medical PLLCGroup PAC ID 0244769156, 30 clinicians

Practice addresses (Care Compare)

3905 Clemmons Rd
Clemmons, NC 27012-8479
Phone (336) 766-9158

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL31130SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T4 Medical PLLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Timothy Turbett MD PC Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
Pai Participant 29, P.C. CurrentSince Aug 10, 2025 Accepting new patients
Appalachian Regional Medical Associates, Inc. Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
Accordius Health at Wilkesboro LLC Past Accepting new patients
Caldwell Hospice and Palliative Care, Inc. PastSince Oct 27, 2019 Accepting new patients

Locations

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

3905 Clemmons Rd
Clemmons, NC 27012
Phone (336) 766-9158

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

1900 W 1st St
Winston Salem, NC 27104
Phone (336) 420-9045

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
AmoremLenoir, NC, CCN 341504 Hospice W-2 Managing Employee Dec 9, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1699938159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SHADY BARK LN",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078086",
            "telephone_number": "828-406-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "JULIA",
        "middle_name": "KRISTINA CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-04",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7875",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL31130",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-02281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.