Sharon D Kellam

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW010092 Issued in GA

Practice address

407 N Washington St
Dublin, GA 31021-6741

Phone

(478) 290-4072

NPI assigned

Dec 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1285346205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N WASHINGTON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216741",
            "telephone_number": "478-290-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N WASHINGTON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216741",
            "telephone_number": "478-290-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "SHARON",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW010092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharon.kellam@va.gov",
            "affiliation": "N",
            "endpointDescription": "secure business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "miscellaneous",
            "address_1": "407 N Washington St",
            "city": "Dublin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310216741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharon.kellam@va.gov",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "407 N Washington St",
            "city": "Dublin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310216741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kishore Kavuri
• Sreekanth Kavuri, MD
• Surendranath Kavuri, MD
• Vasavi A Kavuri, MD
• Paul David Kellam Jr., MD
• Patrick Kelly, RPH, PHARM.D.
• Robert Kennedy III
• Sarah Elizabeth Kirkland
• Natalie Nicole Kirkley, PHARMD
• Leena Fatima Kizilbash, MD

• Clinical Social Worker in Dublin, GA
• Providers in Dublin, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.