Rome Sherrod II MD
Clinic/Center, Medical Specialty in Southaven, MS. Organization (NPI-2).
NPI number1124201892
StatusActive
Last updated in NPPESJun 10, 2013
Details
- NPI
- 1124201892
- Entity type
- Organization (NPI-2)
- Legal business name
- Rome Sherrod II MD
- Organization subpart
- No
- Enumeration date
- Dec 17, 2007
- Last updated
- Jun 10, 2013
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 |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Other names
- Tri-State Healthcare For Women (Other Name)
Practice location
7600 Airways Blvd Ste BSouthaven, MS 38671-5138
Phone 662-349-9370 · Fax 662-349-9372
Mailing address
7600 Airways Blvd Ste BSouthaven, MS 38671-5138
Phone 662-349-9370 · Fax 662-349-9372
Authorized official
Rome Sherrod
Owner
6623499370
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