Wesley Scott Sherrell, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN015396 Issued in GA

Practice address

2925 Premiere Pkwy Ste 185
Duluth, GA 30097-5258

Phone

(678) 336-8720

NPI assigned

May 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, GA2 enrollments

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 2

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Atlanta Oral and Facial Surgery LLCGroup PAC ID 8628062387, 24 clinicians

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlanta Oral & Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1992738165
  Medicare reassignment Care Compare group NPD
• University of North Carolina Hospitals at Chapel Hill

  • Interventional Cardiology Physician
  • Chapel Hill, NC
  • NPI 1568070308
  Medicare reassignment NPD
• University of North Carolina Hospitals at Chapel Hill

  • Community/Retail Pharmacy
  • Morrisville, NC
  • NPI 1134928542
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dekalb Medical Center, Inc.

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1851827158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD BLDG H",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685518",
            "telephone_number": "770-977-0364",
            "fax_number": "678-483-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 PREMIERE PKWY STE 185",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975258",
            "telephone_number": "678-336-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnson Ferry Rd Bldg H",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300685518",
            "country_code": "US",
            "telephone_number": "770-977-0364",
            "fax_number": "678-483-8487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "294 Interstate North Cir SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303392425",
            "country_code": "US",
            "telephone_number": "770-956-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4749 Nelson Brogdon Blvd.",
            "address_2": "Bldg. 200, Suite 2",
            "address_purpose": "LOCATION",
            "city": "Sugar Hill",
            "state": "GA",
            "postal_code": "30518",
            "country_code": "US",
            "telephone_number": "770-932-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRELL",
        "first_name": "WESLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "GA",
            "license": "DN015396",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN015396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Jennivie Shaw
• Mark L Shefrin, DMD
• Jennifer Leigh Shelato, CF-SLP
• Timothy Lee Shelton, M.D.
• Shenelle LLC
• Tatiana Shifrin, DMD
• Young Tae Shim, DMD
• Dong Pyo Shin, L.AC
• Dongwoo Shin
• Jocelyn Yeyoung Shin, DDS

• Oral and Maxillofacial Surgery (Dentist) in Duluth, GA
• Providers in Duluth, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.