Organization Active NPI

Sharp Dermatopathology LLC

  • Clinical Medical Laboratory
  • Columbus, MS
National Provider Identifier
1457676058
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHARP DERMATOPATHOLOGY LLC
Practice address
2110 5TH St N
Columbus, MS 39705-2210
Phone
(662) 243-2430
Fax
(662) 328-7037
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Misty SharpNPI 1871500231
Title
MD
Phone
(662) 243-2435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2110 5TH St N
Columbus, MS 39705-2210

Mailing address

2110 5TH St N
Columbus, MS 39705-2210
Phone (662) 243-2435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100819000058 MS Part B Supplier - Clinic/Group Practice 3072647528 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1457676058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052210",
            "telephone_number": "662-243-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052210",
            "telephone_number": "662-243-2430",
            "fax_number": "662-328-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP DERMATOPATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "662-243-2435"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.