Individual provider Active NPI

Rita Sharma, MD

  • Gynecology Physician
  • Tucker, GA
National Provider Identifier
1215035407
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Practice address
1922 Northlake Pkwy
Tucker, GA 30084-7009
Phone
(770) 723-1545
Fax
(770) 723-1546
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X GA Primary

Addresses

Primary practice location

1922 Northlake Pkwy
Tucker, GA 30084-7009

Mailing address

1922 Northlake Pkwy
Tucker, GA 30084-7009
Phone (770) 723-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20041207000400 GA Practitioner - Obstetrics/Gynecology 5597652735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1922 Northlake Pkwy
Tucker, GA 30084-7009
Phone (770) 723-1545

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta GYN Center CurrentSince Oct 26, 2004 Accepting new patients

Locations

2175 Northlake Pkwy
Bldg 4
Tucker, GA 30084
Phone (770) 496-2929

1922 Northlake Pkwy
Tucker, GA 30084
Phone (770) 723-1545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJHBD/Endpoint/AFJHBD

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1215035407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 NORTHLAKE PKWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847009",
            "telephone_number": "770-723-1545",
            "fax_number": "770-723-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 NORTHLAKE PKWY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847009",
            "telephone_number": "770-723-1545",
            "fax_number": "770-723-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.