Individual provider Active NPI

Malinda S Sherrill, FNP-C

  • Family Nurse Practitioner
  • Harmony, NC
National Provider Identifier
1902954050
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5001112 Issued in NC
Practice address
3210 Harmony Hwy
Harmony, NC 28634-9161
Phone
(704) 546-7587
Fax
(704) 539-4885
NPI assigned
Jan 8, 2007
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5001112 NC Primary
Registered Nurse 163W00000X 122792 NC

Addresses

Primary practice location

3210 Harmony Hwy
Harmony, NC 28634-9161

Mailing address

PO Box 896199
Charlotte, NC 28289-6199
Phone (833) 936-1364

Other practice location 1

135 One Comfortable Pl
Taylorsville, NC 28681-3783
Phone (828) 632-1258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000483 NC Practitioner - Nurse Practitioner 0244328870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

3210 Harmony Hwy
Harmony, NC 28634-9161
Phone (704) 539-4882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5001112NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network LLC CurrentSince Nov 27, 2018 Accepting new patients
Iredell Physician Network LLC CurrentSince Nov 27, 2018 Accepting new patients
Iredell Physician Network LLC Past Accepting new patients
Iredell Physician Network LLC Past Accepting new patients

Locations

3210 Harmony Hwy
Harmony, NC 28634
Phone (704) 546-7587

653 Bluefield Rd
Ste F
Mooresville, NC 28117
Phone (704) 360-6480

738 Bryant St
Ste A
Statesville, NC 28677
Phone (704) 873-1180

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

1668 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-9736

Interoperability endpoints

  • Direct secure messaging: malindasherrill@imhi.allscriptsdirect.net

Organizations & group practices 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1902954050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896199",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896199",
            "telephone_number": "833-936-1364",
            "fax_number": "605-942-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 HARMONY HWY",
            "city": "HARMONY",
            "state": "NC",
            "postal_code": "286349161",
            "telephone_number": "704-546-7587",
            "fax_number": "704-539-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 One Comfortable Pl",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "NC",
            "postal_code": "286813783",
            "country_code": "US",
            "telephone_number": "828-632-1258",
            "fax_number": "828-632-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "MALINDA",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5001112",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "122792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harmony, NC

Sources for this page

Verify at the official NPI Registry.