Healthcare Provider Details

I. General information

NPI: 1861949547
Provider Name (Legal Business Name): ROGER P. SHERMAN, M.D., P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4777 ANDREW JACKSON PKWY STE 102
HERMITAGE TN
37076-1356
US

IV. Provider business mailing address

4777 ANDREW JACKSON PKWY STE 102
HERMITAGE TN
37076-1356
US

V. Phone/Fax

Practice location:
  • Phone: 615-674-0909
  • Fax: 615-334-0227
Mailing address:
  • Phone: 615-674-0909
  • Fax: 615-334-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROGER P. SHERMAN
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 615-707-0108