Sharp Pediatrics LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SHARP PEDIATRICS LLC

Practice address

207 E Rickert Ave
Dickson, TN 37055-1333

Phone

(629) 932-5437

Fax

(629) 932-4549

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Kelley J Sharp, NPNPI 1629071691

Title

Nurse Practitioner Pediatrics

Phone

(615) 260-5589

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sharp Pediatrics LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Rural health clinic certification: CCN 888901

Legal name

SHARP PEDIATRICS LLC

Doing business as

SHARP PEDIATRICS

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Sep 3, 2024

Last certification

Sep 3, 2024

Ownership / control type

1A

Organization structure

LLCProprietary

Incorporated

Apr 18, 2023 in TN

Enrollment address

207 E Rickert Ave
Dickson, TN 37055-1333

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley J Sharp, NP

  • Pediatric Nurse Practitioner
  • Dickson, TN
  • NPI 1629071691

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1396509758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E RICKERT AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551333",
            "telephone_number": "615-260-5589",
            "fax_number": "629-932-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E RICKERT AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551333",
            "telephone_number": "629-932-5437",
            "fax_number": "629-932-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER PEDIATRICS",
        "authorized_official_telephone_number": "615-260-5589",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q081360",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Pediatrics LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sharp Pediatrics LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madison Taylor Sesler
• Jerry Craig Settle, LPC/MHSP
• Megan Shade
• Viren Jashvantlal Shah, M.D.
• Sharon Elizabeth Sharber, FNP-BC
• Kelley J Sharp, NP
• Cameron Shearer
• Shelley Ann Sigur DDS PC
• Susan A. Shepard, D PH.
• Morgan Sherrill, BCBA, LBA

• Rural Health Clinic/Center in Dickson, TN
• Providers in Dickson, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.