| Sherica Nicole Rosser, MD | |
| 
					526 Forest Pkwy Ste K, Forest Park, GA 30297-6140  | |
| (770) 545-2052 | |
| Not Available | 
| Full Name | Sherica Nicole Rosser | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 526 Forest Pkwy Ste K, Forest Park, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174652911 | NPI | - | NPPES | 
| 61157 | Medicaid | GA | |
| 00A965320 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | A96532 (California) | Primary | 
| 208000000X | Pediatrics | 61157 (Georgia) | Secondary | 
| Entity Name | Northside Emergency Associates, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165  | 
| Entity Name | Gwinnett Emergency Specialists Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437346467 PECOS PAC ID: 0840373619 Enrollment ID: O20080218000080  | 
| Entity Name | Wellstar Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374  | 
| Entity Name | Gwinnett Emergency Specialists Observation Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364  | 
| Entity Name | Emergency Group Of Columbus Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sherica Nicole Rosser, MD 280 Park Haven Lane, Tyrone, GA 30290 Ph: () -  | Sherica Nicole Rosser, MD 526 Forest Pkwy Ste K, Forest Park, GA 30297-6140 Ph: (770) 545-2052  | 
Dr. Salma Elmubarak Elkhabier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Fahimot Oyinlola Faduyile, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Daliannys Morales Mendez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Abigail Kamishlian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Dr. Crystal Mercia Malvoisin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Dr. Shonte Henderson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636  |