Individual provider Active NPI

Sherwanna Melissa Wheeler, CRNP

  • Family Nurse Practitioner
  • Riverdale, GA
National Provider Identifier
1831784164
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP000979 Issued in GA
Practice address
7028 Highway 85
Riverdale, GA 30274-2946
Phone
(470) 444-3136
Fax
(470) 298-7730
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-0991822 AL
Family Nurse Practitioner 363LF0000X 1-091822 AL
Family Nurse Practitioner 363LF0000X GAA-NP000979 GA Primary

Addresses

Primary practice location

7028 Highway 85
Riverdale, GA 30274-2946

Mailing address

PO Box 740015
Atlanta, GA 30374-0015

Other practice location 1

3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017

Other practice location 2

1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525
Phone (205) 557-7022

Other practice location 3

652 Lomb Ave SW
Birmingham, AL 35211-1330
Phone (205) 783-9877

Other practice location 4

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

Other practice location 5

2732 Candler Rd
Decatur, GA 30034-1410
Phone (470) 444-3133

Other practice location 6

1263 Moreland Ave SE
Atlanta, GA 30316-3183
Phone (470) 444-3137

Other practice location 7

3088 Washington Rd
East Point, GA 30344-4566
Phone (470) 444-3135

Other practice location 8

1631 Gordon Hwy Ste 17A
Augusta, GA 30906-2229
Phone (706) 230-7006

Other practice location 9

1825 Rockbridge Rd Ste 15B
Stone Mountain, GA 30087-3306
Phone (470) 444-3134

Other practice location 10

677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone (470) 444-3143

Other practice location 11

625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Phone (430) 377-7228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220601001306 AL Practitioner - Nurse Practitioner 5193103257 Reassigns benefits to 1 organization
I20230131003708 GA Practitioner - Nurse Practitioner 5193103257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

Hospital & facility affiliations

  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-0991822ALMDFamily Medicine Physician
1-091822ALMDFamily Nurse Practitioner
GAA-NP000979GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Georgia PC Family Medicine CurrentSince Oct 16, 2022 Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Johnson Regional Medical Center Past Accepting new patients
Qcpi-Villagemd, PC Family Medicine Past Accepting new patients

Locations

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

633 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 235-4003

3065 Dauphin St
Mobile, AL 36606
Phone (251) 271-7017

677 Cascade Ave SW
Atlanta, GA 30310
Phone (470) 444-3143

1263 Moreland Ave SE
Atlanta, GA 30316
Phone (470) 444-3137

1631 Gordon Hwy
Ste 17A
Augusta, GA 30906
Phone (706) 230-7006

2732 Candler Rd
Decatur, GA 30034
Phone (470) 444-3133

3088 Washington Rd
East Point, GA 30344
Phone (470) 444-3135

625 S Marietta Pkwy SE
Marietta, GA 30060
Phone (470) 377-7228

7028 Highway 85
Riverdale, GA 30274
Phone (470) 444-3136

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1a399bfe-f78b-4bd3-b22b-301d9fc9736a/

Organizations & group practices 4

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 1

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": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1831784164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742946",
            "telephone_number": "470-444-3136",
            "fax_number": "470-298-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064040",
            "country_code": "US",
            "telephone_number": "251-271-7017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1687 Center Point Pkwy Ste 121",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352155525",
            "country_code": "US",
            "telephone_number": "205-557-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "652 Lomb Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111330",
            "country_code": "US",
            "telephone_number": "205-783-9877",
            "fax_number": "205-783-9866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Tuscaloosa Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111637",
            "country_code": "US",
            "telephone_number": "205-235-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2732 Candler Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300341410",
            "country_code": "US",
            "telephone_number": "470-444-3133",
            "fax_number": "470-276-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 Moreland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303163183",
            "country_code": "US",
            "telephone_number": "470-444-3137",
            "fax_number": "470-202-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3088 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303444566",
            "country_code": "US",
            "telephone_number": "470-444-3135",
            "fax_number": "404-777-9336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 Gordon Hwy Ste 17A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309062229",
            "country_code": "US",
            "telephone_number": "706-230-7006",
            "fax_number": "762-257-7442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Rockbridge Rd Ste 15B",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873306",
            "country_code": "US",
            "telephone_number": "470-444-3134",
            "fax_number": "470-276-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Cascade Ave SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303102404",
            "country_code": "US",
            "telephone_number": "470-444-3143",
            "fax_number": "470-467-7469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S Marietta Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300602748",
            "country_code": "US",
            "telephone_number": "430-377-7228",
            "fax_number": "470-467-7583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SHERWANNA",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-0991822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-091822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.