Martha Hawkins Sherrill, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8131 Issued in TN

Practice address

1000 Jason Witten Way
Elizabethton, TN 37643-2970

Phone

(423) 439-4355

NPI assigned

Jun 29, 2015

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marthasherrill@entatn.allscriptsdirect.net

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.

• Medical Education Assistance Corporation

  dba ETSU Physicians and Associates

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480
  Medicare reassignment
• Ear Nose & Throat Associates PC

  • Otolaryngology Physician
  • Johnson City, TN
  • NPI 1992734644
  NPD

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1710369533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 WENDOVER DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045443",
            "telephone_number": "985-688-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JASON WITTEN WAY",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432970",
            "telephone_number": "423-439-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Wendover Dr",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045443",
            "country_code": "US",
            "telephone_number": "985-688-1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "MARTHA",
        "middle_name": "HAWKINS",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q087383",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Shelton, LPC,MHSP
• Karissa Ann Shepard, RN
• Amber L Shepherd, LPN
• Jonia Carol Shepherd, PTA
• Sheila M Shepherd, FNP
• James M Shipley, MD
• Silver Angels of Tennessee - Carter, LLC
• Rebecca Diann Simmons, FNP
• Amber Leanne Simon, BS
• Sukhvir Singh, DO

• Speech-Language Pathologist in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.