Individual provider Active NPI

Sharan Adams, NP

  • Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1396336400
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F11200958 Issued in NC
Practice address
160 Boiling Brook Dr
Statesville, NC 28625-2756
Phone
(704) 450-8576
NPI assigned
Feb 1, 2021
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F11200958 NC Primary

Addresses

Primary practice location

160 Boiling Brook Dr
Statesville, NC 28625-2756

Mailing address

PO Box 2530
Davidson, NC 28036-2530
Phone (704) 997-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420001085 NC Practitioner - Nurse Practitioner 6103233150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Post Acute Clinical Services PLLCGroup PAC ID 1951807627, 17 clinicians

Practice addresses (Care Compare)

620 Tom Hunter Rd
Charlotte, NC 28213-5511
Phone (704) 231-4571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11200958NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvu Health CurrentSince Feb 7, 2021 Accepting new patients
Kura Homecare Solutions Current Accepting new patients
Optimed Hospitalists CurrentSince Feb 18, 2024 Accepting new patients
Post Acute Clinical Services PLLC CurrentSince Jan 1, 2026 Accepting new patients
SDD Management CurrentSince Dec 23, 2019 Accepting new patients

Locations

6001 Wilora Lake Rd
Charlotte, NC 28212
Phone (704) 563-2922

620 Tom Hunter Rd
Charlotte, NC 28213
Phone (704) 598-5031

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

1212 E Sunset Dr
Monroe, NC 28112
Phone (704) 283-8548

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

581 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-8146

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1396336400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280362530",
            "telephone_number": "704-997-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BOILING BROOK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252756",
            "telephone_number": "704-450-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHARAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "F11200958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.