Individual provider Active NPI

Manika Sharma, MD

  • Neonatal-Perinatal Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1497918817
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
27413 Issued in MS
Practice address
1108 Oakleigh Dr
Hattiesburg, MS 39402-3068
Phone
(601) 288-3450
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MMD.36706 MD SC
Neonatal-Perinatal Medicine Physician 2080N0001X 3068-320 WI
Neonatal-Perinatal Medicine Physician 2080N0001X 27413 MS Primary

Addresses

Primary practice location

1108 Oakleigh Dr
Hattiesburg, MS 39402-3068

Mailing address

1108 Oakleigh Dr
Hattiesburg, MS 39402-3068
Phone (601) 288-3441

Other practice location 1

1333 Taylor St
Suite 6A
Columbia, SC 29201-2923
Phone (803) 254-2706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20141115000091 SC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7012139611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27413MSMDNeonatal-Perinatal Medicine Physician
MMD.36706 MDSCMDNeonatal-Perinatal Medicine Physician
3068-320WIMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital Past Accepting new patients
Southern Mississippi Neonatology, PA Neonatal-Perinatal Medicine PastSince Jun 25, 2023 Accepting new patients
Pediatrix Medical Group of Wisconsin, SC Neonatal-Perinatal Medicine Past Accepting new patients
Anderson Regional Medical Center Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1497918817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 OAKLEIGH DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023068",
            "telephone_number": "601-288-3441",
            "fax_number": "601-288-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 OAKLEIGH DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023068",
            "telephone_number": "601-288-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Taylor St",
            "address_2": "Suite 6A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012923",
            "country_code": "US",
            "telephone_number": "803-254-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MANIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "SC",
            "license": "MMD.36706 MD",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "3068-320",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MS",
            "license": "27413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.