Individual provider Active NPI

Sherian Alecia Sharomi

  • Clinical Social Worker
  • Norcross, GA
National Provider Identifier
1972838365
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5950 Live Oak Pkwy Ste 240
Norcross, GA 30093-1743
Phone
(678) 582-8947
Fax
(770) 461-0507
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW005524 GA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5950 Live Oak Pkwy Ste 240
Norcross, GA 30093-1743

Mailing address

5950 Live Oak Pkwy Ste 240
Norcross, GA 30093-1743
Phone (678) 582-8947

Other names 1

  • Sherian Alecia Waite Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702003664 GA Practitioner - Clinical Social Worker 9436438686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5950 Live Oak Pkwy
Suite 204
Norcross, GA 30093-1743
Phone (951) 958-3598

5950 Live Oak Pkwy
Suite 240
Norcross, GA 30093-1709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005524GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Family Palliative Care LLC Single Specialty CurrentSince May 8, 2019 Accepting new patients
Primecare Hospice & Palliative Inc Current Accepting new patients

Locations

5950 Live Oak Pkwy
Ste 240
Norcross, GA 30093
Phone (770) 892-1637

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atlanta Family Hospice & Palliative Care II, LLCNorcross, GA, CCN 111731 Hospice 5% Or Greater Indirect Ownership Interest (60%)
W-2 Managing Employee
Operational/Managerial Control (60%)
Aug 1, 2017
Jun 3, 2016
Aug 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1972838365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PKWY STE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "678-582-8947",
            "fax_number": "770-461-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PKWY STE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "678-582-8947",
            "fax_number": "770-461-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAROMI",
        "first_name": "SHERIAN",
        "middle_name": "ALECIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005524",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERIAN",
            "last_name": "WAITE",
            "middle_name": "ALECIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.