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Angela Cherry

Physician β€’ Ellenwood, GA

Deactivated NPI 1649104852 Deactivated in NPPES Female Practitioner
Practice location in NPPES

3429 Lineview Dr
Ellenwood, GA 302946305

Phone: 6783131192

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 12, 2026; the reason is not published. The records below are historical. They do not show whether Angela Cherry currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 11, 2026
NPI Deactivation Date August 12, 2026
NPI Active Period 2026 – 2026

Practice Location & Contact Primary Location

Practice Address

3429 Lineview Dr

Ellenwood, GA 302946305

Telephone 6783131192

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Ellenwood and Georgia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-11
Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 12, 2026

NPPES lists this NPI as deactivated as of August 12, 2026; the reason is not published.

βœ…
NPI Profile Active June 11, 2026

NPI status registered as active in NPPES database

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Practice Location (Initial Record) June 11, 2026

Registered at 3429 LINEVIEW DR, ELLENWOOD, GA 302946305 (Tel: 6783131192)

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Business Mailing Address (Initial Record) June 11, 2026

Registered at 335 OAK TERRACE DR, COVINGTON, GA 300160289 (Tel: 6783131192)

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Provider Name / Credentials (Initial Record) June 11, 2026

Recorded as ANGELA CHERRY

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Home Health

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Initial NPI Registration & Enumeration June 11, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649104852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2026
Last Update: June 11, 2026
Deactivation Date: August 12, 2026
Sole Proprietor: Yes

Mailing Address

335 Oak Terrace Dr

Covington, GA 300160289

Phone: 6783131192

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.