Shandareda C Sewell (NPI# 1538319249, PAC ID# 9032261185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1538319249 |
| PAC ID by PECOS | 9032261185 |
| Professional Enrollment ID | I20090721000224 |
| Full Name | Shandareda C Sewell |
| Organization Legal Name | SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC |
| Address |
325 N Jeff Davis Dr Fayetteville GA 30214-1627 |
| Phone Number | 7709965404 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9032491956 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 325 N Jeff Davis Dr, Fayetteville, GA 30214-1627 | 7709965404 | SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC |
| 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 7708977277 | SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC |
| 11 Upper Riverdale Rd Sw, Suite 21, Riverdale, GA 30274-2615 | 7708977277 | SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC |
| Organization Legal Name | SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosirma Corney | Physician Assistant | Southern Regional Physicians Management Group, LLC | 325 N Jeff Davis Dr, Fayetteville, GA 30214-1627 |
| Ryan S Shear | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Janine Pettiford | General Surgery | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Marlena C Cain | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Nidhi Khanna | General Surgery | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Michael Issac Serotoff | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Portia Siwawa | General Surgery | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Eugene H Harris Iii | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Hilary Chukwudinma Nwosu | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Suite 21, Riverdale, GA 30274-2615 |
| Richard M Sobel | Emergency Medicine | Southern Regional Physicians Management Group, LLC | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
| Street Address |
325 N JEFF DAVIS DR |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-1627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosirma Corney | Physician Assistant | Southern Regional Physicians Management Group, LLC | 325 N Jeff Davis Dr, Fayetteville, GA 30214-1627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAYETTEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shandareda C Sewell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.