Active NPI
Sidharth Sharma, M.D
- Family Medicine Physician
- Milton, GA
National Provider Identifier
1568790848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 064967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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
- sidharth.sharma.p41@direct.tenet.nextgenshare.com
- ssidharth@northside.gwaydirect.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.