Active NPI
Sharhonda Barrett
- Nursing Home Administrator
- Silver Creek, GA
National Provider Identifier
1306211784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 251S00000X
- Practice address
- 73 Midway Park Road
Silver Creek, GA 30173 - Phone
- (706) 766-8874
- NPI assigned
- Dec 10, 2015
- Last updated
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 251S00000X | GA | Primary |
| Home Modifications Contractor | 171WH0202X | 58-2103386 | GA | |
| Behavior Analyst | 103K00000X | 364S00000X | GA |
Addresses
Primary practice location
73 Midway Park Road
Silver Creek, GA 30173
Mailing address
73 Midway Park Rd SE
Silver Creek, GA 30173-2476
Phone (706) 766-8874
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HIGHLAND RIVERS CSB | Medicaid | GA | |
| 58-2103386 | Medicaid | GA | |
| 364S00000X | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251S00000X | GA | MD | Mental Health Counselor |
| 364S00000X | GA | MD | Behavioral Analyst |
| 58-2103386 | GA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1306211784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 MIDWAY PARK RD SE",
"city": "SILVER CREEK",
"state": "GA",
"postal_code": "301732476",
"telephone_number": "706-766-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 MIDWAY PARK ROAD",
"city": "SILVER CREEK",
"state": "GA",
"postal_code": "30173",
"telephone_number": "706-766-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "SHARHONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "GA",
"license": "251S00000X",
"primary": true
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "GA",
"license": "58-2103386",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "364S00000X",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HIGHLAND RIVERS CSB",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58-2103386",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364S00000X",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.