Individual provider Active NPI

Sherrill Grover Bradsher, APRN, FNP

  • Family Nurse Practitioner
  • Highlands, NC
National Provider Identifier
1942200605
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015195 Issued in NC
Practice address
52 Aunt Dora Dr
Highlands, NC 28741-7620
Phone
(828) 526-1991
NPI assigned
Jul 26, 2005
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015195 NC Primary

Addresses

Primary practice location

52 Aunt Dora Dr
Highlands, NC 28741-7620

Mailing address

5055 Connestee TRL
Brevard, NC 28712-7453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070606000558 SC Practitioner - Nurse Practitioner 8729031828 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5015195NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
University Medical Associates CurrentSince Feb 18, 2012 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Feb 18, 2012 Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: sherrill.bradsher.1@33697.direct.athenahealth.com

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1942200605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 CONNESTEE TRL",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287127453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 AUNT DORA DR",
            "city": "HIGHLANDS",
            "state": "NC",
            "postal_code": "287417620",
            "telephone_number": "828-526-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHER",
        "first_name": "SHERRILL",
        "middle_name": "GROVER",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands, NC

Sources for this page

Verify at the official NPI Registry.