NPIMap

Individual provider Active NPI

Daryl Sherrod, M.D.

  • Family Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1851354740
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49976 Issued in GA
Practice address
105 Habersham Dr Ste D
Fayetteville, GA 30214-7341
Phone
(470) 878-5051
NPI assigned
Apr 11, 2006
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49976 GA Primary
Family Medicine Physician 207Q00000X 049976 GA

Addresses

Primary practice location

105 Habersham Dr Ste D
Fayetteville, GA 30214-7341

Mailing address

105 Habersham Dr Ste D
Fayetteville, GA 30214-7341
Phone (470) 878-5051

Other identifiers 1

IdentifierTypeStateIssuer
00903658AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000747 GA Practitioner - Family PracticePractitioner - Emergency Medicine 5799760609 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Primary Care, LLCGroup PAC ID 4880936970, 2 clinicians

Practice addresses (Care Compare)

2121 Fountain Dr
Suite a
Snellville, GA 30078-2900
Phone (770) 736-3008

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Primary Care, LLC CurrentSince Jan 15, 2024 Accepting new patients
Georgia Clinic, PC Family Medicine CurrentSince Jan 15, 2022 Accepting new patients
United Physician Group LLC Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Georgia Emergency Group, LLC CurrentSince Jun 15, 2013 Accepting new patients
Independence Emergency Physicians LLC PastSince Aug 10, 2025 Accepting new patients
Taylor Regional Emergency Physicians, LLC Past Accepting new patients
Carter Emergency Physicians Past Accepting new patients
Precious Hospice of Chicago, LLC PastSince Sep 17, 2023 Accepting new patients
Gordonia Emergency Physicians Past Accepting new patients
Burke Emergency Physicians Past Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients
Ogeechee Valley Emergency Physicians Past Accepting new patients
Washington Wilkes Emergency Physicians LLC Past Accepting new patients

Locations

13 Corporate Blvd NE
Ste 100
Brookhaven, GA 30329
Phone (229) 442-7210

1862 Candler Rd
Decatur, GA 30032
Phone (404) 289-4556

2496 Columbia Dr
Decatur, GA 30034
Phone (404) 534-9222

1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

3970 Five Forks Trickum Rd SW
#A
Lilburn, GA 30047
Phone (678) 880-4836

8052 Mall Pkwy
Ste 103
Lithonia, GA 30038
Phone (404) 289-4556

6330 Primrose Hill Ct
Peachtree Corners, GA 30092
Phone (770) 309-8108

2121 Fountain Dr
Ste A
Snellville, GA 30078
Phone (770) 736-3008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFEICA

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1851354740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HABERSHAM DR STE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147341",
            "telephone_number": "470-878-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HABERSHAM DR STE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147341",
            "telephone_number": "470-878-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROD",
        "first_name": "DARYL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "49976",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00903658A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.