DR. JERRY F SHERRILL (NPI# 1073587390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073587390 |
| Entity Type | Individual |
| Full Name | DR. JERRY F SHERRILL |
| Credential | M.D. |
| Practice Address |
101 Chapman Hill Rd Clemson SC 29631 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8646534071 |
| Mailing Telephone | 8647976174 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
16839 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 168393 | 05 | |
| SC | MEDICAID GROUP EFFECTIVE 4-1-2013 5252 BAPTIST EASLEY HOSPITAL D | 5252 | 01 |
| SC | MEDICARE UPIN EFFECTIVE 4-1-2013 BAPTIST EASLEY HOSPITAL | G9363 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 John St Ste 103, Easley, SC 296401405 | 8648591510 | 8648597421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952610727 | Jerry Dale Sherrill | Pharmacist | 8440 Nevada St, Navarre, FL 32566-9284 | 2010-09-28 |
| 1659457414 | Jerry Lin Sherrill | Registered Nurse | 110 29th Ave N Ste 202, Nashville, TN 37203-1448 | 2006-10-27 |
| Street Address |
101 CHAPMAN HILL RD |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764524 | William Bedingfield Jr. | Internal Medicine | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2005-07-20 |
| 1801412762 | Lindsey Terbeek | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2020-06-17 |
| 1386202893 | Erin Leonard Cleveland | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2019-05-30 |
| 1144714544 | Hilary Koster | Nurse Practitioner | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2018-06-19 |
| 1598294787 | Kenneth Ontario Felder | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2017-06-09 |
| 1477082055 | Carrie S Anderson | Speech-Language Pathologist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2017-06-07 |
| 1679009021 | Jennier Johnston | Physical Therapy Assistant | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2017-05-04 |
| 1447797675 | Fredda Patterson | Nurse Practitioner | 101 Chapman Hill Rd, Clemson, SC 29631 | 2017-01-26 |
| 1093267403 | Shannon Edwards Galloway | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2016-11-02 |
| 1689023020 | Baptist Easley Hospital | Family Medicine | 101 Chapman Hill Rd, Ste. 201, Clemson, SC 29631-2194 | 2016-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766436 | Clemson Neurology | Psychiatry & Neurology | 220 Keowee Trl, Clemson, SC 29631-1448 | 2005-11-01 |
| 1518199249 | Baptist Easley Hospital | Psychiatry & Neurology | 220 Keowee Trl, Clemson, SC 29631-1448 | 2009-08-13 |
| 1710137047 | Palmetto Health | Psychiatry & Neurology | 220 Keowee Trl, Clemson, SC 29631-1448 | 2008-09-23 |
| 1366642019 | Susan V. Breazeale | Psychiatry & Neurology | 220 Keowee Trl, Clemson, SC 29631-1448 | 2007-07-20 |
| 1023009701 | George Timothy Baxley | Psychiatry & Neurology | 220 Keowee Trl, Clemson, SC 29631-1448 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
| 1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.