Active NPI
Manu Sharma, MD
- Pediatrics Physician
- Hope Mills, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2011-01109
- Practice address
- 3436 N Main St
Hope Mills, NC 28348-1834 - Phone
- (910) 426-7337
- Fax
- (910) 424-1418
- NPI assigned
- Jul 7, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2011-01109 | NC | Primary |
| Pediatrics Physician | 208000000X | 201101109 | NC |
Addresses
Primary practice location
3436 N Main St
Hope Mills, NC 28348-1834
Mailing address
3301 Quarry Drive
Fayetteville, NC 28303
Phone (646) 318-4992
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114214459 | Other | NC | HEALTHSMART |
| 1114214459 | Medicaid | NC | |
| 4015451 | Other | NC | COVENTRY NATIONAL - COVENTRY PPO |
| 9777745 | Other | NC | AETNA |
| 1114214459 | Other | NC | HUMANA |
| 1305465 | Other | NC | COVENTRY OF THE CAROLINAS |
| 1305465 | Other | NC | 1ST HEALTH |
| 4015451 | Other | NC | GEHA/MAILHANDLERS |
| 1114214459 | Other | NC | HEALTHNET FEDERAL SERVICES |
| 13037216 | Other | NC | PHCS-MULTIPLAN |
| 1965107 | Other | NC | CIGNA-GREATWEST |
| 167VJ | Other | NC | BCBS OF NC |
| 1305465 | Other | NC | WELLPATH |
| 237960 | Other | NC | MEDCOST |
| 3369235 | Other | NC | UNITED HEALTHCARE |
| FH1101535 | Other | NC | FIRST CAROLINA CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201101109 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoke Healthcare LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Hoke Healthcare, LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Hoke Healthcare, LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Pediatrics | Current | Accepting new patients |
| Kidzcare Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Locations
1262 Oliver St
Ste B
Fayetteville, NC 28304
Phone (910) 609-4801
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
300 Medical Pavilion Dr
#15
Raeford, NC 28376
Phone (910) 904-8020
300 Medical Pavilion Dr
Ste 150
Raeford, NC 28376
Phone (910) 904-8020
Interoperability endpoints
- msharma27646@capefearvalley.direct-ci.com
Organizations & group practices 7
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.
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Clinic/Center
- Raeford, NC
- NPI 1114277035
-
- Pediatrics Physician
- Fayetteville, NC
- NPI 1295738920
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
- General Acute Care Hospital
- Raeford, NC
- NPI 1750788238
-
- Primary Care Clinic/Center
- Raeford, NC
- NPI 1962752881
-
- Pediatrics Physician
- Hope Mills, NC
- NPI 1679529051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496188800000",
"number": "1114214459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 QUARRY DRIVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28303",
"telephone_number": "646-318-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 N MAIN ST",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283481834",
"telephone_number": "910-426-7337",
"fax_number": "910-424-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "MANU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2017-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2011-01109",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "201101109",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSMART",
"identifier": "1114214459",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114214459",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY NATIONAL - COVENTRY PPO",
"identifier": "4015451",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9777745",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1114214459",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY OF THE CAROLINAS",
"identifier": "1305465",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1ST HEALTH",
"identifier": "1305465",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEHA/MAILHANDLERS",
"identifier": "4015451",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET FEDERAL SERVICES",
"identifier": "1114214459",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS-MULTIPLAN",
"identifier": "13037216",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-GREATWEST",
"identifier": "1965107",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "167VJ",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "1305465",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "237960",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3369235",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH1101535",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hope Mills, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.