Active NPI
Georgia Dermatopathology
- Dermatopathology Physician
- Hinesville, GA
National Provider Identifier
1245328913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- Legal business name
- GEORGIA DERMATOPATHOLOGY
- Practice address
- 510 E Oglethorpe Hwy
Hinesville, GA 31313 - Phone
- (912) 369-7284
- Fax
- (478) 328-0281
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 11, 2007
- Organization subpart
- Yes
- Parent organization
- GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Sharkey, MD
- Title
- Owner
- Phone
- (478) 328-1433
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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | NU | Primary |
Addresses
Primary practice location
510 E Oglethorpe Hwy
Hinesville, GA 31313
Mailing address
212 Hospital Dr Ste H
Warner Robins, GA 31088-4289
Phone (478) 328-0281
National Provider Directory
National Provider Directory- Part of
- Georgia Dermatology Skin Cancer Center LLC
Locations
510 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 369-7546
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Nurse Practitioner
- Warner Robins, GA
- NPI 1053770669
-
- Nurse Practitioner
- Savannah, GA
- NPI 1578359121
-
- Dermatopathology (Pathology) Physician
- Hinesville, GA
- NPI 1093797144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1245328913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HOSPITAL DR STE H",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310884289",
"telephone_number": "478-328-0281",
"fax_number": "478-328-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E OGLETHORPE HWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "912-369-7284",
"fax_number": "478-328-0281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA DERMATOPATHOLOGY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "SHARKEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-328-1433",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.