Individual provider Active NPI

Sharron Leigh Crittenden, DACM, L.AC.

  • Acupuncturist
  • Marietta, GA
National Provider Identifier
1043869852
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
438 Issued in GA
Practice address
410 Villa Rica Way SW
Marietta, GA 30064-5741
Phone
(678) 761-3677
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 438 GA Primary

Addresses

Primary practice location

410 Villa Rica Way SW
Marietta, GA 30064-5741

Mailing address

410 Villa Rica Way SW
Marietta, GA 30064-5741
Phone (678) 761-3677

Other names 1

  • Sharron Leigh Lipscomb Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
438GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharron Leigh Crittenden, LLC Acupuncturist Current Accepting new patients
Acupuncture Atlanta Inc. Acupuncturist PastSince Jul 1, 2021 Accepting new patients

Locations

410 Villa Rica Way SW
Marietta, GA 30064
Phone (678) 504-1199

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1043869852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 VILLA RICA WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645741",
            "telephone_number": "678-761-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 VILLA RICA WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645741",
            "telephone_number": "678-761-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITTENDEN",
        "first_name": "SHARRON",
        "middle_name": "LEIGH",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARRON",
            "last_name": "LIPSCOMB",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.