Active NPI
Kailash B Sharma, MD
- Anatomic Pathology & Clinical Pathology Physician
- Augusta, GA
National Provider Identifier
1033198387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 015039
- Practice address
- 1350 Walton Way
Augusta, GA 30901-2612 - Phone
- (706) 774-5400
- Fax
- (706) 774-5096
- NPI assigned
- Jan 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Microbiology Physician | 207ZM0300X | 015039 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 015039 | GA | Primary |
Addresses
Primary practice location
1350 Walton Way
Augusta, GA 30901-2612
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (317) 275-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581446543 | Other | GA | TRICARE |
| 000259003A | Medicaid | GA | |
| 339161 | Other | GA | WELLCARE |
| 10058418 | Other | GA | AMERIGROUP |
| 285011 | Other | GA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15039 | GA | MD | Internal Medicine Physician |
| 015039 | GA | MD | Medical Microbiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1033198387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "317-275-8000",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 WALTON WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012612",
"telephone_number": "706-774-5400",
"fax_number": "706-774-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "KAILASH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-14",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "GA",
"license": "015039",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "015039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "581446543",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000259003A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "339161",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10058418",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "285011",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.