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SHERI L SWADER M.D.
NPI 1194706911
Psychiatry & Neurology - Neurology in Valdosta, GA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
101F W NORTHSIDE DR, VALDOSTA, GA 31602(229) 262-1981(229) 375-0392 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2020, Nov 20, 2019, Mar 15, 2018 (3 updates tracked since 2018).

About Sheri L Swader M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERI L SWADER M.D. (NPI 1194706911) is an individual neurology provider in Valdosta, Georgia, licensed in Georgia (80244) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cullman, and is a graduate of University Of Arkansas College Of Medicine (2001).

NPPES Registry Identity

NPI1194706911
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHERI L SWADERCredential: M.D.
Location Address101F W NORTHSIDE DRValdosta, GA 31602-1700
Mailing Address101 W Northside Dr # FValdosta, GA 31602-1714 · (229) 262-1981 · Fax (229) 375-0392
Phone(229) 262-1981
Fax(229) 375-0392
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2001
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 13, 20203 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1194706911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in GA · 80244✔ Licensed in AL · 24894
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
101F W NORTHSIDE DR, Valdosta, GA 31602
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Other Names 1

Professional Name (2)Sheri L Swader Md

Secondary Practice Location 1

Location 11800 ALABAMA HWY 157, SUITE 301Cullman, AL 35058 · Phone (256) 736-1615 · Fax (256) 736-1579

Other Identifiers 3

Other51001503AL · Bcbs Of Al
Medicaid009998375AL
Medicaid003208546CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sheri L Swader M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204872310
PECOS Enrollment IDI20180725001694
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
197 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
99 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services43 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
37 services37 patients
Nerve conduction, 11-12 studies 95912
Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.
37 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
35%331 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
28%258 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,356 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
33%480 patients2/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN HASKIN
Nurse Practitioner (Family)
101F W NORTHSIDE DR
VALDOSTA, GA 31602
Lowndes County (229) 262-1981

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheri Swader's NPI number?

The NPI number for Sheri Swader is 1194706911. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Sheri L Swader MD.

Where is Sheri Swader located?

Sheri Swader practices at 101F W Northside Dr, Valdosta, GA 31602. The listed phone number is (229) 262-1981.

What is Sheri Swader's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sheri Swader enrolled in Medicare?

Yes. Sheri Swader is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheri Swader accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Sheri Swader as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheri Swader was last updated on July 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.