NPIMap

Individual provider Active NPI

Achin Sharma, M.D.

  • Family Medicine Physician
  • Horn Lake, MS
National Provider Identifier
1093715641
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15476 Issued in 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
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15476 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070629000246 MS Practitioner - Family Practice 8527097203 Reassigns benefits to 1 organization
I20080110000525 TN Practitioner - Family Practice 8527097203

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 9537198213, 6 clinicians

Practice addresses (Care Compare)

3102 Goodman Rd W
Horn Lake, MS 38637-1172
Phone 6623426676222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15476MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horn Lake Family Practice Past Accepting new patients
Urgent Medical Clinic Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: achin.sharma@hlfp.eclinicaldirectplus.com
  • Direct secure messaging: asharma22826@mlh.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAAGBA/Endpoint/AAAGBA

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1093715641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386370138",
            "telephone_number": "662-342-6677",
            "fax_number": "662-342-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 GOODMAN RD W",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386371172",
            "telephone_number": "662-342-6677",
            "fax_number": "662-342-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ACHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horn Lake, MS

Sources for this page

Verify at the official NPI Registry.