RANDALL L SHERMAN (NPI# 1972642585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972642585 |
| Entity Type | Individual |
| Full Name | RANDALL L SHERMAN |
| Credential | MD |
| Practice Address |
1 Lincoln Pkwy Ste 202 Hattiesburg MS 39402-3261 |
| Practice Telephone | 6012888050 |
| Mailing Telephone | 6012888050 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
19594 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1 LINCOLN PKWY STE 202 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154351815 | Theresa P Woolbright | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-07-05 |
| 1275710212 | Forrest County General Hospital | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2008-01-22 |
| 1578602199 | Donna Dimarco Tomlinson | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2007-02-06 |
| 1447356902 | South Mississippi Health Service, Inc | Psychologist | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-09-15 |
| 1689780421 | Shelley S Cochran | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-22 |
| 1447366190 | Kenneth D Mcgill | Marriage & Family Therapist | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-22 |
| 1982717997 | Deborah Virginia Gross | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-16 |
| 1174636195 | Joanna Michelle Hardy | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-16 |
| 1558379776 | Sergio I Gutierrez | Social Worker | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-03 |
| 1255356044 | Teresa Gayle Mulvihill | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558379263 | Kevin Mark Passer | Psychiatry & Neurology | 5317-4 Old Highway 11, Hattiesburg, MS 39402 | 2006-08-04 |
| 1881638732 | Charles Chapman Sledge | Psychiatry & Neurology | 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578709713 | Holloway Psychiatric Services, Inc. | Psychiatry & Neurology | 742d Magnolia St, Madison, MS 39110-8903 | 2008-12-17 |
| 1003955626 | Scott L. Hambleton | Psychiatry & Neurology | 7048 Old Canton Road, Suite 2001, Ridgeland, MS 39157 | 2007-02-06 |
| 1023034758 | Elizabeth Connell Henderson | Psychiatry & Neurology | 3848 County Road 24, Hickory, MS 39332-2630 | 2006-07-14 |
| 1659990075 | Addiction Campuses Professional Services of Mississippi, LLC | Psychiatry & Neurology | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-04-15 |
| 1477180958 | Wright and Associates Medical Logistics LLC | Psychiatry & Neurology | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2020-03-25 |
| 1952940454 | Magnolia Counseling Clinic | Psychiatry & Neurology | 590 Highway 6 E, Batesville, MS 38606-3002 | 2019-12-31 |
| 1497103469 | Sharmayn Sayers-erfourth | Psychiatry & Neurology | 129 E Starling St Ste A, Greenville, MS 38701-4725 | 2016-05-31 |
| 1437327830 | River Oaks Management Company, LLC | Psychiatry & Neurology | 207 W Jackson St, Suite 1, Ridgeland, MS 39157-2311 | 2008-02-19 |
| 1922101328 | Sreedhar Rao Rayudu | Psychiatry & Neurology | 590 Hwy 6 East, Batesville, MS 38606 | 2006-09-07 |
| 1477582096 | Joseph A. Kwentus | Psychiatry & Neurology | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.