Individual provider Active NPI

Sharnjeet K Singh, PA-C

  • Medical Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1093802787
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9104161 Issued in FL
Practice address
2181 Orange Ave E
Tallahassee, FL 32311-6144
Phone
(850) 513-7000
Fax
(850) 513-8010
NPI assigned
Oct 6, 2006
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9104161 FL Primary

Addresses

Primary practice location

2181 Orange Ave E
Tallahassee, FL 32311-6144

Mailing address

2181 Orange Ave E
Tallahassee, FL 32311-6144
Phone (850) 513-7000

Other practice location 1

1607 Saint James Ct
Tallahassee, FL 32308-5352
Phone (850) 878-0191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917002548 FL Order and Referring Only - Physician Assistant 7911093893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104161FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Southern Medical Group, PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1093802787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 ORANGE AVE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116144",
            "telephone_number": "850-513-7000",
            "fax_number": "850-513-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 ORANGE AVE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116144",
            "telephone_number": "850-513-7000",
            "fax_number": "850-513-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Saint James Ct",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085352",
            "country_code": "US",
            "telephone_number": "850-878-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SHARNJEET",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.