John Holloway Sherrill, MD
Individual provider Active NPI Internal Medicine Physician · Connelly Springs, NC
NPI 1720175367 · NPPES record last updated Feb 24, 2023
Key facts
- NPI
- 1720175367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 22973 (NC)
- Practice address
- 560 Malcolm Blvd
Connelly Springs, NC 28612-7918 - Phone
- (828) 874-2061
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Wake Forest University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Healthcare Medical Group Inc
Practice addresses (Care Compare)
722 Malcolm Blvd
Connelly Springs, NC 28612-7920
Phone (828) 580-7655
Hospital & facility affiliations
- Blue Ridge Healthcare Hospitals, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 117 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020001321 | NC | Practitioner - Internal Medicine |
0143413450 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22973 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Current |
Accepting new patients | |
| High Country Community Health | Current |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| High Country Community Health | Current | Accepting new patients | |
| High Country Community Health | Current |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Past | Accepting new patients |
Locations
240 Highway 105 Ext
Ste 100
Boone, NC 28607
Phone (828) 264-7311
935 State Farm Rd
Boone, NC 28607
Phone (828) 262-3886
560 Malcolm Blvd
Connelly Springs, NC 28612
Phone (828) 437-7702
1925 N Bridge St
#101
Elkin, NC 28621
Phone (336) 835-5330
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
301 E Meeting St
Ste 101
Morganton, NC 28655
Phone (828) 608-0800
448 Cranberry St
Newland, NC 28657
Phone (828) 737-0221
Interoperability endpoints
- jsherrill203797@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22973 | NC | Yes |
Addresses
Primary practice location
560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Mailing address
PO Box 1490
Boone, NC 28607-1490
Other practice location 1
301 E Meeting St Ste 101
Morganton, NC 28655-3594
Phone (828) 608-0800
Other practice location 2
240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone (828) 264-7311
Other practice location 3
1925 N Bridge St Ste 101
Elkin, NC 28621-2105
Phone (336) 835-7337
Other practice location 4
448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221
Other practice location 5
935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8975772 | Medicaid | NC | |
| 1720175367 | Medicaid | NC |
Other providers in Connelly Springs, NC
- Melissa Rink
- Brandy Hunt Rodriguez
- Michelle S Rogers
- Wenimar D. Salvador
- Scheller Hamren & Associates DDS PLLC
- Michelle Sreter
- Tracy J Stilwell
- The Speech Wagon PLLC
- Triad Orthotics & Prosthetics
- Valdese Nursing Home
All providers in Connelly Springs, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.