Individual provider Active NPI

Sherry Lee Harper, APRN

  • Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1871015362
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN153288 Issued in GA
Practice address
8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2210
Phone
(678) 838-3000
Fax
(678) 838-3155
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN153288 GA Primary

Addresses

Primary practice location

8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2210

Mailing address

8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2210
Phone (678) 838-3000

Other practice location 1

340 Boulevard NE Ste 210
Atlanta, GA 30312-1282
Phone (404) 600-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421001853 GA Order and Referring Only - Nurse Practitioner 9335412402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN153288GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Lung Centers of Georgia Single Specialty PastSince Jul 21, 2017 Accepting new patients
Traditions Hospice of Lawrenceville, LLC PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871015362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 STONEBRIDGE BLVD STE 100",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342210",
            "telephone_number": "678-838-3000",
            "fax_number": "678-838-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 STONEBRIDGE BLVD STE 100",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342210",
            "telephone_number": "678-838-3000",
            "fax_number": "678-838-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Boulevard NE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121282",
            "country_code": "US",
            "telephone_number": "404-600-3300",
            "fax_number": "404-600-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "SHERRY",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN153288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.