Individual provider Active NPI

Saurabh Sharma, MD

  • Surgery Physician
  • Griffin, GA
National Provider Identifier
1194043406
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
88970 Issued in GA
Practice address
619 S 8TH St Ste 301
Griffin, GA 30224-4260
Phone
(770) 229-6072
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 282749 NY
Surgery Physician 208600000X TO BE ISSUED NY
Surgery Physician 208600000X 25MA11481000 NJ
Surgery Physician 208600000X 88970 GA Primary

Addresses

Primary practice location

619 S 8TH St Ste 301
Griffin, GA 30224-4260

Mailing address

101 Ladson CT
Decatur, GA 30033-5374
Phone (917) 710-0630

Other practice location 1

333 Mount Hope Ave Ste 220
Rockaway, NJ 07866-1656
Phone (973) 971-7609

Other practice location 2

435 South St Ste 360
Morristown, NJ 07960-6479
Phone (973) 971-7609

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssharma432714@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20221020000798 NJ Practitioner - General Surgery 6002213832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

333 Mount Hope Ave
Rockaway, NJ 07866-1645
Phone (973) 895-6601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11481000NJMDSurgery Physician
282749NYMDSurgery Physician
TO BE ISSUEDNYMDStudent in an Organized Health Care Education/Training Program

Organizations & group practices 1

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 3

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1194043406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LADSON CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335374",
            "telephone_number": "917-710-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST STE 301",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244260",
            "telephone_number": "770-229-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Mount Hope Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rockaway",
            "state": "NJ",
            "postal_code": "078661656",
            "country_code": "US",
            "telephone_number": "973-971-7609",
            "fax_number": "973-290-7521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 South St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606479",
            "country_code": "US",
            "telephone_number": "973-971-7609",
            "fax_number": "973-290-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SAURABH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "282749",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "TO BE ISSUED",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA11481000",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "88970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssharma432714@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "619 S 8th St Ste 301",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.