Organization Active NPI

Roger P. Sherman, M.D., P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Hermitage, TN
National Provider Identifier
1861949547
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ROGER P. SHERMAN, M.D., P.L.L.C.
Practice address
4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356
Phone
(615) 674-0909
Fax
(615) 334-0227
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Dr. Roger P. Sherman, MDNPI 1588648638
Title
Owner/Physician
Phone
(615) 707-0108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356

Mailing address

4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356
Phone (615) 674-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161027000920 TN Part B Supplier - Clinic/Group Practice 6103104070 Receives reassigned benefits from 2 practitioners
Practice locations: Hermitage, TN

National Provider Directory

National Provider Directory

Locations

211 Donelson Pike
Ste 109
Nashville, TN 37214
Phone (615) 674-0909

211 Donelson Pike
Ste 102
Nashville, TN 37214

2201 Murphy Ave
Ste 103
Nashville, TN 37203
Phone (615) 327-3603

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1861949547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 ANDREW JACKSON PKWY STE 102",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761356",
            "telephone_number": "615-674-0909",
            "fax_number": "615-334-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 ANDREW JACKSON PKWY STE 102",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761356",
            "telephone_number": "615-674-0909",
            "fax_number": "615-334-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER P. SHERMAN, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "615-707-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.