Individual provider Active NPI

Octavian Sharp, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1184938201
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN15059 Issued in TN
Practice address
5339 Elvis Presley Blvd
Memphis, TN 38116-8243
Phone
(901) 504-7002
NPI assigned
Jul 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000015059 TN
Family Nurse Practitioner 363LF0000X A810365 MS
Family Nurse Practitioner 363LF0000X APN15059 TN Primary

Addresses

Primary practice location

5339 Elvis Presley Blvd
Memphis, TN 38116-8243

Mailing address

PO Box 746725
Atlanta, GA 30374-6725
Phone (601) 533-7017

Other identifiers 1

IdentifierTypeStateIssuer
1521371MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110210000919 TN Practitioner - Nurse Practitioner 9931389707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150

Hospital & facility affiliations

  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A810365MSMDFamily Nurse Practitioner
0000015059TNMDFamily Nurse Practitioner
APN15059TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Tennessee, PLLC CurrentSince Jul 23, 2023 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Sep 18, 2023 Accepting new patients
Michael E Steuer, MD, PC CurrentSince May 19, 2015 Accepting new patients
The West Clinic P.C. Past Accepting new patients
Osh-Mi Physicians Group PC Family PastSince Jul 1, 2023 Accepting new patients

Locations

1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

2016 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

5339 Elvis Presley Blvd
Memphis, TN 38116
Phone (901) 271-9500

3889 Park Ave
Memphis, TN 38111
Phone (901) 401-7140

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1184938201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746725",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746725",
            "telephone_number": "601-533-7017",
            "fax_number": "601-553-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168243",
            "telephone_number": "901-504-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "OCTAVIAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000015059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "A810365",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN15059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521371",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.