Individual provider Active NPI

Manu Sharma, MD

  • Pediatrics Physician
  • Hope Mills, NC
National Provider Identifier
1114214459
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2011-01109 Issued in NC
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

Updated by the provider on May 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1114214459OtherNCHEALTHSMART
1114214459MedicaidNC
4015451OtherNCCOVENTRY NATIONAL - COVENTRY PPO
9777745OtherNCAETNA
1114214459OtherNCHUMANA
1305465OtherNCCOVENTRY OF THE CAROLINAS
1305465OtherNC1ST HEALTH
4015451OtherNCGEHA/MAILHANDLERS
1114214459OtherNCHEALTHNET FEDERAL SERVICES
13037216OtherNCPHCS-MULTIPLAN
1965107OtherNCCIGNA-GREATWEST
167VJOtherNCBCBS OF NC
1305465OtherNCWELLPATH
237960OtherNCMEDCOST
3369235OtherNCUNITED HEALTHCARE
FH1101535OtherNCFIRST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806000999 NC Practitioner - Pediatric Medicine 0143624510 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201101109NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Healthcare LLC CurrentSince Jul 1, 2021 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Hoke Healthcare, LLC CurrentSince Jul 1, 2021 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Apr 20, 2025 Accepting new patients
Hoke Healthcare, LLC Current Accepting new patients
Cumberland County Hospital System Inc Pediatrics CurrentSince Apr 20, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.