Shel Sharpe MD, Inc

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

020151 Issued in GA

Legal business name

SHEL SHARPE MD, INC

Practice address

39 Shoals Ferry Rd SE
Rome, GA 30161-9199

Phone

(770) 383-3311

NPI assigned

Aug 13, 2012

Last updated

Sep 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shel Sharpe, MD

Title

Owner/President

Phone

(770) 383-3311

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Susan Luper, MA, CAC1

  • Addiction (Substance Use Disorder) Counselor
  • Cartersville, GA
  • NPI 1437669108
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1366799058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SHOALS FERRY RD SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301619199",
            "telephone_number": "770-383-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHOALS FERRY RD SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301619199",
            "telephone_number": "770-383-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEL SHARPE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "SHEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-383-3311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "020151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366799058",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508956558",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Shannon, BCBA
• Pamela D Shannon, MD
• Beverly Sharp
• Jacob Randolph Shattuck, PTA
• Julie Allison Shaw, PA-C
• Jaluna Shelley
• Cindy V Shelton
• Katie Shetter Flanery
• Shift Mobile Therapy and Wellness, LLC
• Sara Wright Shropshire, MSW, LCSW,

• Adolescent and Children Mental Health Clinic/Center in Rome, GA
• Providers in Rome, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.