Active NPI
Ahmed Elsharkawi MD LLC
- Nephrology Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 55128
- Legal business name
- AHMED ELSHARKAWI MD LLC
- Practice address
- 390 Eh CT
Brunswick, GA 31520-2198 - Phone
- (912) 267-4900
- Fax
- (912) 267-4960
- NPI assigned
- Aug 20, 2009
- Last updated
- Aug 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Elsharkawi, MD
- Title
- Ceo
- Phone
- (912) 267-4900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 55128 | GA | Primary |
Addresses
Primary practice location
390 Eh CT
Brunswick, GA 31520-2198
Mailing address
390 Eh CT
Brunswick, GA 31520-2198
Phone (912) 267-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 663552717A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
195 E Tollison St
Baxley, GA 31513
Phone (912) 366-6008
195 E Tollison St
Ste C
Baxley, GA 31513
3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Phone (912) 262-2723
3150 Glynn Ave
Brunswick, GA 31520
Phone (912) 261-4997
53 Scranton Connector
Brunswick, GA 31525
Phone (912) 264-8657
330 Peachtree St
Jesup, GA 31545
Phone (912) 415-8552
130 N Gross Rd
Ste 203
Kingsland, GA 31548
Phone (912) 262-6691
2040 Dan Proctor Dr
Ste 200
Saint Marys, GA 31558
Phone (912) 576-6376
308 Carswell Ave
Waycross, GA 31501
Phone (912) 285-1663
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Brunswick, GA
- NPI 1861456378
-
- Nurse Practitioner
- Brunswick, GA
- NPI 1063299865
-
- Adult Health Nurse Practitioner
- Brunswick, GA
- NPI 1306052279
-
- Nephrology Physician
- Brunswick, GA
- NPI 1861695892
-
- Nephrology Physician
- Brunswick, GA
- NPI 1831199033
-
- Medical Physician Assistant
- Hazlehurst, GA
- NPI 1811042815
-
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1124649926
-
- Physician Assistant
- Jesup, GA
- NPI 1578750568
-
- Internal Medicine Physician
- Folkston, GA
- NPI 1770558470
-
- Nurse Practitioner
- Waycross, GA
- NPI 1316640238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250726400000",
"number": "1184856494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 EH CT",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315202198",
"telephone_number": "912-267-4900",
"fax_number": "912-267-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 EH CT",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315202198",
"telephone_number": "912-267-4900",
"fax_number": "912-267-4960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHMED ELSHARKAWI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A",
"authorized_official_last_name": "ELSHARKAWI",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-267-4900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "55128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "663552717A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.