Jeri L Sheffield, D.O., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

047945 Issued in GA

Legal business name

JERI L SHEFFIELD, D.O., P.C.

Practice address

4066 Foxborough Blvd
Valdosta, GA 31602-6740

Phone

(229) 247-1163

Fax

(229) 249-9799

NPI assigned

Nov 17, 2012

Organization subpart

No

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

Authorized official

Name

Jeri Lynn Sheffield, D.O.NPI 1033234315

Title

President

Phone

(229) 247-1163

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeri Lynn Sheffield, D.O.

  • Family Medicine Physician
  • Valdosta, GA
  • NPI 1033234315
  NPD Authorized official

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353110400000",
    "number": "1962746701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 FOXBOROUGH BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026740",
            "telephone_number": "229-247-1163",
            "fax_number": "229-249-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 FOXBOROUGH BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026740",
            "telephone_number": "229-247-1163",
            "fax_number": "229-249-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERI L SHEFFIELD, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-247-1163",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "047945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000850121A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jasmine-Mize
• Jason L Griner LCSW PC
• Rachael N. Jefferson, NP-C
• Katie Alyssa Jenkins
• Ronnie Neil Jenkins Jr., D.M.D.
• James David Jernigan Jr.
• Samantha Jernigan, MT, NMT
• Jessica D Wheeler LMFT Inc
• John B. Hunt, M.D., P.C.
• John W Devine, MD, PC

• Primary Care Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; 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.