Individual provider Active NPI

Keith Thomas Sharpton, M.D.

  • Surgery Physician
  • Lenoir, NC
National Provider Identifier
1053604546
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2020-02577 Issued in NC
Practice address
401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463
Phone
(828) 757-6146
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 288887 NY
Surgery Physician 208600000X 2020-02577 NC Primary

Addresses

Primary practice location

401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463

Mailing address

401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463
Phone (828) 757-6146

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksharpton644603@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170817002671 NY Practitioner - General Surgery 6709184229 Reassigns benefits to 1 organization
I20200825001337 NC Practitioner - General Surgery 6709184229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
288887NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc. Surgery CurrentSince Aug 10, 2020 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 5, 2017 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 5, 2017 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Aug 10, 2020 Accepting new patients

Locations

160 River Bend Dr
Ste A
Granite Falls, NC 28630
Phone (828) 757-5042

1031 Morganton Blvd SW
Ste B
Lenoir, NC 28645
Phone (828) 757-6200

401 Mulberry St SW
Ste 202
Lenoir, NC 28645
Phone (828) 757-6146

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: ksharpton644603@direct.unc.nchie.net

Organizations & group practices 4

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1053604546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW STE 202",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-757-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW STE 202",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-757-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPTON",
        "first_name": "KEITH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "288887",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2020-02577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksharpton644603@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "401 Mulberry St SW Ste 202",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.