Achin Sharma, M.D.
Individual provider Active NPI Family Medicine Physician · Horn Lake, MS
NPI 1093715641 · NPPES record last updated Apr 18, 2008
Key facts
- NPI
- 1093715641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 15476 (MS)
- Practice address
- 3102 Goodman Rd W
Horn Lake, MS 38637-1172 - Phone
- (662) 342-6677
- Fax
- (662) 342-1213
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Horn Lake Family Practice Inc
Practice addresses (Care Compare)
3102 Goodman Rd W
Horn Lake, MS 38637-1172
Phone 6623426676222
Hospital & facility affiliations
- Baptist Home Care and Hospice North Mississippi
- Accentcare Home Health of Greenwood
- Acg Hospice-Olive Branch
- Baptist Memorial Hospital Desoto
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070629000246 | MS | Practitioner - Family Practice | 8527097203 | Reassigns benefits to 1 organization |
| I20080110000525 | TN | Practitioner - Family Practice | 8527097203 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15476 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horn Lake Family Practice | Past | Accepting new patients | |
| Urgent Medical Clinic Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAAGBA/Endpoint/AAAGBA
- achin.sharma@hlfp.eclinicaldirectplus.com
- asharma22826@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15476 | MS | Yes |
Addresses
Primary practice location
3102 Goodman Rd W
Horn Lake, MS 38637-1172
Mailing address
PO Box 138
Horn Lake, MS 38637-0138
Phone (662) 342-6677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4162329 | Other | TN | BCBS OF TN |
| 00118511 | Medicaid | MS | |
| 39191 | Other | TN | UAHC |
| 10030732 | Other | TN | VESTICA |
| 42569 | Other | TN | TLC FAMILY |
| P00431450 | Other | MS | MEDICARE RAILROAD |
Other providers in Horn Lake, MS
- Brian Darrel Rhoads
- Arthur Thomas Roach
- Jacqueline Rueda
- S&K Medical,LLC
- Salve Family Health PC
- Jessica White Sims
- Kathryn Derivaux Smith
- Kaila Stepter
- Ethan Stobaugh
- Raul Suarez Jr.
All providers in Horn Lake, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.