Active NPI
Zeev Sharon, M.D.
- Nephrology Physician
- Decatur, GA
National Provider Identifier
1063406502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 025668
- Practice address
- 497 Winn Way
Suite a-210
Decatur, GA 30030-1712 - Phone
- (404) 294-7033
- Fax
- (404) 296-4661
- NPI assigned
- Sep 9, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25668 | GA | |
| Nephrology Physician | 207RN0300X | 025668 | GA | Primary |
Addresses
Primary practice location
497 Winn Way
Suite a-210
Decatur, GA 30030-1712
Mailing address
497 Winn Way
Suite a-210
Decatur, GA 30030-1712
Phone (404) 294-7033
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000274909A | Medicaid | GA | |
| 00274909D | Medicaid | GA | |
| 25668 | Other | GA | STATE LICENSE NUMBER |
| 00274909A | Medicaid | GA |
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 |
|---|---|---|---|
| 25668 | GA | MD | Specialist |
| 025668 | GA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Nephrology, LLC | Nephrology | Current | Accepting new patients |
Locations
497 Winn Way
Ste A210
Decatur, GA 30030
Phone (404) 294-7033
595 Hurricane Shoals Rd NW
Ste 100
Lawrenceville, GA 30046
Phone (404) 645-7150
Organizations & group practices 1
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.
-
- Nephrology Physician
- Decatur, GA
- NPI 1063422723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1063406502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 WINN WAY",
"address_2": "SUITE A-210",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301712",
"telephone_number": "404-294-7033",
"fax_number": "404-296-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 WINN WAY",
"address_2": "SUITE A-210",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301712",
"telephone_number": "404-294-7033",
"fax_number": "404-296-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARON",
"first_name": "ZEEV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "25668",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "025668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000274909A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274909D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "25668",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274909A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.