Sharisma Fahie
Individual provider Active NPI Nurse's Aide · Grayson, GA
NPI 1336091628 · NPPES record last updated Feb 10, 2026
Key facts
- NPI
- 1336091628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 25131487 (GA)
- Practice address
- 2364 Laurelfield Dr
Grayson, GA 30017-2864 - Phone
- (470) 640-4527
- NPI assigned
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25131487 | GA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharisma Yaa Fahie LLC | Multi-Specialty | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide |
376K00000X | 25131487 | GA | Yes |
Addresses
Primary practice location
2364 Laurelfield Dr
Grayson, GA 30017-2864
Mailing address
2364 Laurelfield Dr
Grayson, GA 30017-2864
Phone (470) 640-4527
Other providers in Grayson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.