Organization Active NPI

Sheryl Avon Skipper

  • Durable Medical Equipment & Medical Supplies
  • Thomasville, GA
National Provider Identifier
1902080203
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHERYL AVON SKIPPER
Practice address
118 S Madison St Ste 1
Thomasville, GA 31792-5400
Phone
(229) 226-8619
Fax
(229) 226-8619
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Sheryl Avon SkipperNPI 1093881708
Title
Owner
Phone
(229) 226-8619

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

118 S Madison St Ste 1
Thomasville, GA 31792-5400

Mailing address

118 S Madison St Ste 1
Thomasville, GA 31792-5400
Phone (229) 226-8619

Other identifiers 1

IdentifierTypeStateIssuer
00528294MedicaidGA

National Provider Directory

National Provider Directory

Locations

118 S Madison St
Ste 1
Thomasville, GA 31792
Phone (229) 226-8619

Practitioners & affiliated clinicians

Practitioners 1

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1902080203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S MADISON ST STE 1",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925400",
            "telephone_number": "229-226-8619",
            "fax_number": "229-226-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MADISON ST STE 1",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925400",
            "telephone_number": "229-226-8619",
            "fax_number": "229-226-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL AVON SKIPPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SKIPPER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "AVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-226-8619"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00528294",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.