Individual provider Active NPI

Terry Lynn Sharpe, M.D., P.C.

  • Dermatology Physician
  • Stockbridge, GA
National Provider Identifier
1285784439
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
025826 Issued in GA
Practice address
110 Walter Way Unit 98
Stockbridge, GA 30281-9500
Phone
(770) 507-8481
Fax
(770) 507-5358
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 025826 GA Primary

Addresses

Primary practice location

110 Walter Way Unit 98
Stockbridge, GA 30281-9500

Mailing address

110 Walter Way Unit 98
Stockbridge, GA 30281-9500
Phone (770) 507-8481

Other identifiers 1

IdentifierTypeStateIssuer
000303806CMedicaidGA

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
I20080211000377 GA Practitioner - Dermatology 3274616511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Un of California, Irvine, College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Country Club Dr
Suite B
Stockbridge, GA 30281-9054
Phone (770) 507-8481

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions27
Removal or shaving of skin growth1-10
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025826GAMDDermatology Physician

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1285784439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WALTER WAY UNIT 98",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819500",
            "telephone_number": "770-507-8481",
            "fax_number": "770-507-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WALTER WAY UNIT 98",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819500",
            "telephone_number": "770-507-8481",
            "fax_number": "770-507-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "025826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000303806C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.