Active NPI
Sharon Michelle Holbrook, AGPCNP-BC
- Adult Health Nurse Practitioner
- Calhoun, GA
National Provider Identifier
1073015384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN175411
- Practice address
- 310 N River St NW
Calhoun, GA 30701-9408 - Phone
- (706) 624-1444
- Fax
- (706) 624-1471
- NPI assigned
- Mar 2, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN175411 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN175411 | GA | Primary |
Addresses
Primary practice location
310 N River St NW
Calhoun, GA 30701-9408
Mailing address
16 E 12TH St SW Ste 2
Rome, GA 30161-4720
Phone (706) 295-6701
Other practice location 1
16 E 12th St SW Ste 2
Rome, GA 30161-4720
Phone (706) 295-6701
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon County Health Department | Past | Accepting new patients |
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.
-
- State or Local Public Health Clinic/Center
- Calhoun, GA
- NPI 1528508710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073015384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 E 12TH ST SW STE 2",
"city": "ROME",
"state": "GA",
"postal_code": "301614720",
"telephone_number": "706-295-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N RIVER ST NW",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307019408",
"telephone_number": "706-624-1444",
"fax_number": "706-624-1471"
}
],
"practiceLocations": [
{
"address_1": "16 E 12th St SW Ste 2",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301614720",
"country_code": "US",
"telephone_number": "706-295-6701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLBROOK",
"first_name": "SHARON",
"middle_name": "MICHELLE",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN175411",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN175411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.