NPIMap

Individual provider Active NPI

Cherilyn S Zellner, M.D.

  • Family Medicine Physician
  • Wrightsville, GA
National Provider Identifier
1881645570
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043153 Issued in GA
Practice address
2251 W Elm St
Wrightsville, GA 31096-2017
Phone
(478) 864-3448
Fax
(478) 864-1288
NPI assigned
May 15, 2006
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 043153 GA Primary

Addresses

Primary practice location

2251 W Elm St
Wrightsville, GA 31096-2017

Mailing address

2251 W Elm St
Wrightsville, GA 31096-2017
Phone (478) 864-3448

Other identifiers 1

IdentifierTypeStateIssuer
043153OtherGAPROVIDER MEDICAL LICENSE

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
I20090819000880 GA Practitioner - Family Practice 8628122025 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc CurrentSince Jul 13, 1998 Accepting new patients
Community Health Care Systems, Inc CurrentSince Jul 13, 1998 Accepting new patients
Community Health Care Systems, Inc. Current Accepting new patients
Nes Georgia, Inc. Past Accepting new patients
Johnson County Center for Community Health Past Accepting new patients
Ohoopee River Emergency Physicians Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Jenkins County Hospital LLC Past Accepting new patients
Nes Georgia, Inc. Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Screven County Family Health Center, LLC Family Medicine Past Accepting new patients

Locations

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1881645570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 W ELM ST",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310962017",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 W ELM ST",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310962017",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLNER",
        "first_name": "CHERILYN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICAL LICENSE",
            "identifier": "043153",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville, GA

Sources for this page

Verify at the official NPI Registry.