Individual provider Active NPI

John Holloway Sherrill, MD

  • Internal Medicine Physician
  • Connelly Springs, NC
National Provider Identifier
1720175367
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22973 Issued in NC
Practice address
560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone
(828) 874-2061
NPI assigned
Oct 6, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22973 NC Primary

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

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886

Other practice location 3

240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone (828) 264-7311

Other practice location 4

448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221

Other practice location 5

1925 N Bridge St Ste 101
Elkin, NC 28621-2105
Phone (336) 835-7337

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
I20101020001321 NC Practitioner - Internal MedicinePractitioner - Family Practice 0143413450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Wake Forest University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

722 Malcolm Blvd
Connelly Springs, NC 28612-7920
Phone (828) 580-7655

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
High Country Community Health CurrentSince Feb 6, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Apr 1, 2018 Accepting new patients
High Country Community Health CurrentSince Feb 6, 2020 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) 874-1030

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

  • Direct secure messaging: jsherrill203797@direct.unc.nchie.net

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1720175367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MALCOLM BLVD",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286127918",
            "telephone_number": "828-874-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Meeting St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553594",
            "country_code": "US",
            "telephone_number": "828-608-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 State Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074948",
            "country_code": "US",
            "telephone_number": "828-262-3886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Highway 105 Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074291",
            "country_code": "US",
            "telephone_number": "828-264-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 Cranberry St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286578800",
            "country_code": "US",
            "telephone_number": "828-737-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 N Bridge St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212105",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "JOHN",
        "middle_name": "HOLLOWAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "22973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connelly Springs, NC

Sources for this page

Verify at the official NPI Registry.