Share Ministry Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9300197 Issued in NC

Legal business name

SHARE MINISTRY INC

Practice address

393 N Main Street
Sparta, NC 28675

Phone

(336) 372-7575

Fax

(336) 372-7540

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Georgia S Latham, MD

Title

Medical Director

Phone

(336) 572-2157

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHARE Clinic Doing business as

Practitioners 1

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

• Denise Absher Bryant, MD

  • Family Medicine Physician
  • Sparta, NC
  • NPI 1144204645
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1215022207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "address_2": "393 N MAIN STREET",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "28675",
            "telephone_number": "336-372-7575",
            "fax_number": "336-372-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 N MAIN STREET",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "28675",
            "telephone_number": "336-372-7575",
            "fax_number": "336-372-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARE MINISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-572-2157",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9300197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012PJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARE Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Charles Riglin, COTA/L
• Meghann Roberts
• Keith Edward Romanov, ARNP
• Roots & Ridge, PLLC
• Dale Marie Sandusky, MA, CCC-SLP
• Julia Marian Simmons, PHD, LPC
• Dan C Smith Jr., CRNA
• Sara Caitlyn Smith
• Todd A Smith, DC
• Sparta Emergency Physicians LLC

• Family Medicine Physician in Sparta, NC
• Providers in Sparta, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.