Provider Demographics
NPI:1073570263
Name:SHERMAN, JO ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JO ANNE
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 WHEELER ROAD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:706-589-5076
Mailing Address - Fax:
Practice Address - Street 1:3660 J DEWEY GRAY CIR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6424
Practice Address - Country:US
Practice Address - Phone:706-210-8884
Practice Address - Fax:706-210-8863
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037686174400000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA037686OtherGA LICENSE
GA00720134AMedicaid
SCG37686OtherSC MEDICAID
SCG37686OtherSC MEDICAID
GABS 3824629OtherGA DEA
GA00720134AMedicaid