Individual provider Active NPI

Sidharth Sharma, M.D

  • Family Medicine Physician
  • Milton, GA
National Provider Identifier
1568790848
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
064967 Issued in GA
Practice address
980 Birmingham Rd Ste 304
Milton, GA 30004-4418
Phone
(470) 639-6340
Fax
(404) 250-8096
NPI assigned
Nov 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 064967 GA Primary

Addresses

Primary practice location

980 Birmingham Rd Ste 304
Milton, GA 30004-4418

Mailing address

2612 Holcomb Bridge Rd
Suite 100
Alpharetta, GA 30022-5494
Phone (770) 650-8980

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ssidharth@Northside.gwaydirect.com Direct
Direct Messaging Address NFMUC_EastCobb@Northside.gwaydirect.com Direct
Direct Messaging Address sidharth.sharma@northsidehospital.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sidharth.sharma.p41@direct.tenet.nextgenshare.com
  • Direct secure messaging: ssidharth@northside.gwaydirect.com
  • Direct secure messaging: sidharth.sharma.p74@direct.tenet.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1568790848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225494",
            "telephone_number": "770-650-8980",
            "fax_number": "770-650-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BIRMINGHAM RD STE 304",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044418",
            "telephone_number": "470-639-6340",
            "fax_number": "404-250-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SIDHARTH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "064967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssidharth@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "980 Birmingham Rd Ste 304",
            "city": "Milton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300044418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NFMUC_EastCobb@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "980 Birmingham Rd Ste 304",
            "city": "Milton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300044418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sidharth.sharma@northsidehospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "980 Birmingham Rd Ste 304",
            "city": "Milton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300044418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

Verify at the official NPI Registry.