| Mr Richard T Sheriff, NP-C | |
|
157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 | |
| (770) 214-2800 | |
| (770) 214-2803 |
| Full Name | Mr Richard T Sheriff |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 157 Clinic Ave Ste 201, Carrollton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487204236 | NPI | - | NPPES |
| 003226645H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN224195 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Georgia Gastroenterology Associates,pc | 5890783104 | 11 |
| Entity Name | West Georgia Gastroenterology Associates,pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962594168 PECOS PAC ID: 5890783104 Enrollment ID: O20040505000392 |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard T Sheriff, NP-C 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 Ph: (770) 214-2800 | Mr Richard T Sheriff, NP-C 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 Ph: (770) 214-2800 |
Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828 | |
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 | |
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237 | |
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922 | |
Alyssa Dianne Paul, AGNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117 Phone: 770-838-8440 | |
Mrs. Andrea Logan Bossie, MS, RN, CNN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 526 Bankhead Hwy Ste 101, Carrollton, GA 30117 Phone: 770-962-3642 Fax: 770-962-3643 |