Sherrod Family Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SHERROD FAMILY MEDICAL CLINIC, LLC

Practice address

907A 31St St E
Tuscaloosa, AL 35405-2507

Phone

(662) 352-3817

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Prelinca Sherrod, FNPNPI 1720265341

Title

Ceo/Owner

Phone

(662) 352-3817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prelinca R Sherrod, NP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1720265341

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1760204820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 COUNTY ROAD 75",
            "city": "ETHELSVILLE",
            "state": "AL",
            "postal_code": "354613221",
            "telephone_number": "662-352-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907A 31ST ST E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052507",
            "telephone_number": "662-352-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERROD FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "PRELINCA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "662-352-3817",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Robert Sheppard, M.D,
• John D Sheppard, MD
• Cameron Scott Sherrill, M.D.
• Jarett B Sherrill, DC
• Jonathan Michael Sherrill, D.O.
• Brandon Sherrod, MD
• Prelinca R Sherrod, NP
• Gordon Albert Shields, M.D.
• Amy Shirley, CRNP
• Carl Grey Shirley, RPH

• Family Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.