MARLENA SHERMAN (NPI# 1376081448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376081448 |
| Entity Type | Individual |
| Full Name | MARLENA SHERMAN |
| Credential | APRN |
| Practice Address |
4112 E Ponce De Leon Ave Clarkston GA 30021-8106 |
| Practice Telephone | 4042967133 |
| Practice Fax Number | 4042967211 |
| Mailing Telephone | 4042967133 |
| Mailing Fax Number | 4042967211 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN252408 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4112 E PONCE DE LEON AVE |
| City | CLARKSTON |
| State | GA |
| Zip Code | 30021-8106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441032 | Patrice Gibson Chishom | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2005-07-15 |
| 1962038307 | Thanmayie Bethi | Nurse Practitioner | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2020-03-17 |
| 1285278739 | Emily Schober Klingman | Registered Nurse | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2019-10-28 |
| 1043690605 | Andrea Zmaj | Nurse Practitioner | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2015-06-08 |
| 1255623575 | Liza Nicole Massey | Registered Nurse | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2011-05-04 |
| 1548568785 | Erica Mercedes Walker | Nurse Practitioner | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2011-03-12 |
| 1619029592 | Decatur Pediatric Group, Pa | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-1817 | 2007-01-18 |
| 1962579631 | Keanna L Joseph-clarke | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2006-11-29 |
| 1275549388 | Kimberly M Humphrey-browne | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-1817 | 2006-07-31 |
| 1205841046 | Shyronda Yvette Pleasant | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081808 | Marqueta A Coffer | Case Manager/Care Coordinator | 1380 Brockett Pl, Clarkston, GA 30021 | 2017-09-07 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1265739437 | Carepoint Home Care, LLC | In Home Supportive Care | 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 | 2011-02-23 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1679528491 | Ojoru Osunkoya | Pediatrics | 4112 E. Ponce De Leon, Clarkston, GA 30021 | 2006-05-23 |
| 1700849825 | Regina Allen Hardin | Pediatrics | 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 | 2006-04-10 |
| 1831514538 | Caudelle & Wilson Eye Care LLC | Optometrist | 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 | 2014-03-04 |
| 1881865624 | Vanessa Phan | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| Find all providers in zip 30021 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548568785 | Erica Mercedes Walker | Nurse Practitioner | 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | 2011-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
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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.