Individual provider Active NPI

Sharmila Ramprasad, M.D.

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1093724908
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57482 Issued in GA
Practice address
3104 Creekside Village Dr NW
Suite 201
Kennesaw, GA 30144-2324
Phone
(770) 627-3986
Fax
(770) 872-0517
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 57482 GA Primary

Addresses

Primary practice location

3104 Creekside Village Dr NW
Suite 201
Kennesaw, GA 30144-2324

Mailing address

3104 Creekside Village Dr NW
Suite 201
Kennesaw, GA 30144-2324
Phone (770) 627-3986

Other identifiers 1

IdentifierTypeStateIssuer
581884156CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070106000011 GA Practitioner - Family Practice 3870593346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3104 Creekside Village Dr NW
Suite 201
Kennesaw, GA 30144-2334
Phone (770) 627-3986

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57482GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Medical Clinic LLC Family Medicine CurrentSince Jun 1, 2010 Accepting new patients

Locations

3104 Creekside Village Dr NW
Ste 201
Kennesaw, GA 30144
Phone (770) 529-0460

Interoperability endpoints

  • Direct secure messaging: admin@creekside.e-mdsdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1093724908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 CREEKSIDE VILLAGE DR NW",
            "address_2": "SUITE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442324",
            "telephone_number": "770-627-3986",
            "fax_number": "770-872-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 CREEKSIDE VILLAGE DR NW",
            "address_2": "SUITE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442324",
            "telephone_number": "770-627-3986",
            "fax_number": "770-872-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMPRASAD",
        "first_name": "SHARMILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "57482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581884156C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.