NPI Code Detail JSON Logo

1972472355 NPI number — SHERRY RENEE CHEELY DRIVER

NPI Number: 1972472355
Health Care Provider/Practitioner: SHERRY RENEE CHEELY DRIVER

Information about “1972472355” NPI (SHERRY RENEE CHEELY DRIVER) exists in 1972472355 in HTML format HTML  |  1972472355 in plain Text format TXT  |  1972472355 in PDF (Portable Document Format) PDF  |  1972472355 in an XML format XML  formats.

NPI Number : 1972472355 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972472355",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEELY",
    "FirstName": "SHERRY",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DRIVER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROOKS",
    "OtherFirstName": "REAGIN",
    "OtherMiddleName": "MYRON",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "DRIVER",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "875 CONLEY RD SE APT D1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30354-3511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-596-1894",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "875 CONLEY RD SE APT D1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30354-3511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-596-1894",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/03/2025",
    "LastUpdateDate": "11/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "172A00000X",
        "TaxonomyName": "Driver",
        "LicenseNumber": "064181408",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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