Individual provider Active NPI

Shevonda T Sherrow, M.D.

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1790701936
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
47600 Issued in TN
Practice address
2158 Northgate Park LN
Suite 300
Chattanooga, TN 37415-6911
Phone
(423) 771-9680
Fax
(423) 713-7332
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2006-00022 NC
Obstetrics & Gynecology Physician 207V00000X 47600 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN
Suite 300
Chattanooga, TN 37415-6911

Mailing address

2158 Northgate Park LN
Suite 300
Chattanooga, TN 37415-6911
Phone (423) 771-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110809000017 TN Practitioner - Obstetrics/Gynecology 4688679418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2158 Northgate Park LN
Suite 300
Chattanooga, TN 37415-6959
Phone (423) 771-9680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00022NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority Obstetrics & Gynecology CurrentSince Sep 1, 2011 Accepting new patients
Privia Medical Group Tennessee LLC Obstetrics & Gynecology CurrentSince Sep 26, 2022 Accepting new patients
Innovative Women'S Health Specialists Obstetrics & Gynecology CurrentSince Jan 11, 2016 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 26, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

Interoperability endpoints

  • Direct secure messaging: shevonda.sherrow.1@12804.direct.athenahealth.com

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 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1790701936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156911",
            "telephone_number": "423-771-9680",
            "fax_number": "423-713-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156911",
            "telephone_number": "423-771-9680",
            "fax_number": "423-713-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROW",
        "first_name": "SHEVONDA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2006-00022",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "47600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.