Individual provider Active NPI

Sangita A. Sharma, M.D.

  • Family Medicine Physician
  • Snellville, GA
National Provider Identifier
1396779690
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055886 Issued in GA
Practice address
1700 Tree LN Ste 160
Snellville, GA 30078-6765
Phone
(678) 578-8422
Fax
(678) 578-8423
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 055886 GA Primary

Addresses

Primary practice location

1700 Tree LN Ste 160
Snellville, GA 30078-6765

Mailing address

1700 Tree LN Ste 160
Snellville, GA 30078-6765
Phone (678) 578-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050919000440 GA Practitioner - Family Practice 9436147469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1700 Tree LN
Suite 160
Snellville, GA 30078-6765
Phone (678) 578-8422

Hospital & facility affiliations

  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
055886GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson Family Care Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Gwinnett Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1700 Tree Ln
Ste 160
Snellville, GA 30078
Phone (678) 578-8422

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1396779690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TREE LN STE 160",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786765",
            "telephone_number": "678-578-8422",
            "fax_number": "678-578-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LN STE 160",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786765",
            "telephone_number": "678-578-8422",
            "fax_number": "678-578-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANGITA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.