NPIMap

Organization Active NPI

Sharpe Medical Services Inc

  • General Acute Care Hospital
  • Ponte Vedra Beach, FL
National Provider Identifier
1154714129
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PA9105187 Issued in FL
Legal business name
SHARPE MEDICAL SERVICES INC
Practice address
130 Indian Cove LN
Ponte Vedra Beach, FL 32082-2168
Phone
(904) 434-8466
Fax
(904) 373-5568
NPI assigned
Mar 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Authorized official

Name
Mr. Timothy Sharpe, PACNPI 1578898524
Title
President
Phone
(904) 434-8466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PA9105187 FL Primary

Addresses

Primary practice location

130 Indian Cove LN
Ponte Vedra Beach, FL 32082-2168

Mailing address

130 Indian Cove LN
Ponte Vedra Beach, FL 32082-2168
Phone (904) 434-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180501002033 FL Part B Supplier - Clinic/Group Practice 0446510465 Receives reassigned benefits from 8 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20902/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426291200000",
    "number": "1154714129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDIAN COVE LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822168",
            "telephone_number": "904-434-8466",
            "fax_number": "904-373-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDIAN COVE LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822168",
            "telephone_number": "904-434-8466",
            "fax_number": "904-373-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARPE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-434-8466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "PA9105187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.