Jackie Steve Sherrer Jr., M.D.
Family Medicine in Dothan, AL. Individual provider (NPI-1).
NPI number1104894740
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104894740
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jackie Steve Sherrer Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 00017149 | AL | Yes |
Practice location
301 Westgate PkwyDothan, AL 36303-2962
Phone 334-793-2120 · Fax 334-671-0228
Mailing address
Po Box 8397Dothan, AL 36304-0397
Phone 334-793-2120 · Fax 334-671-0228
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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