Active NPI
Chandi P Sharma, MD
- Internal Medicine Physician
- College Park, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017736
- Practice address
- 3681 Auditorium Way
Dr Chandi P Sharma MDPC
College Park, GA 30337 - Phone
- (404) 766-5361
- Fax
- (404) 766-5362
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017736 | GA | Primary |
Addresses
Primary practice location
3681 Auditorium Way
Dr Chandi P Sharma MDPC
College Park, GA 30337
Mailing address
3681 Auditorium Way
Dr Chandi P Sharma MDPC
College Park, GA 30337
Phone (404) 766-5361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000143954E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017736 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C P Sharma,M.D PC | Internal Medicine | Current | Accepting new patients |
Locations
3681 Auditorium Way
College Park, GA 30337
Phone (404) 766-5361
3681 Auditorium Way
#P
College Park, GA 30337
Phone (404) 766-5361
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chandi P Sharma, M.D PC
- Internal Medicine Physician
- College Park, GA
- NPI 1811152606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275693616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3681 AUDITORIUM WAY",
"address_2": "DR CHANDI P SHARMA MDPC",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "30337",
"telephone_number": "404-766-5361",
"fax_number": "404-766-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3681 AUDITORIUM WAY",
"address_2": "DR CHANDI P SHARMA MDPC",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "30337",
"telephone_number": "404-766-5361",
"fax_number": "404-766-5362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "CHANDI",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "017736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000143954E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.