Timothy David Sharpe, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9105187 Issued in FL

Practice address

7016 Normandy Blvd
Jacksonville, FL 32205-6206

Phone

(904) 783-2405

Fax

(904) 781-6080

NPI assigned

Oct 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.sharpe.1@20902.direct.athenahealth.com
• Direct secure messaging: timothy.sharpe.1@14736.direct.athenahealth.com

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.

• Sharpe Medical Services Inc

  • General Acute Care Hospital
  • Ponte Vedra Beach, FL
  • NPI 1154714129
  Medicare reassignment Authorized official
• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124
  Medicare reassignment NPD
• Florida Pain Specialists PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1285182659
  Medicare reassignment
• Michael V Sharpe, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1750382669
  Medicare reassignment
• Dr. Michael V. Sharpe

  • Family Medicine Physician
  • Hilliard, FL
  • NPI 1679768667
  NPD (past)
• First Coast Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1528197993
  NPD (past)
• Institute for Health Sports Spine Rehabilitation & Pain Manage

  • Interventional Pain Medicine Physician
  • Orange Park, FL
  • NPI 1184171605
  NPD (past)
• West Jax Geriatrics, LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1629439260
  NPD (past)

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

• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation
• St Vincents Medical Center Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1134117575
  Care Compare affiliation
• St. Vincent'S Medical Center, Inc.

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1669556072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1578898524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056206",
            "telephone_number": "904-783-2405",
            "fax_number": "904-781-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056206",
            "telephone_number": "904-783-2405",
            "fax_number": "904-781-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9105187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Allen Sharp II, D.M.D.
• Sarah Luttrell Sharp, PA-C
• Tamara Sharp, BA
• Chelsie Sharpe, LCSW
• Michael V Sharpe, M.D.
• Kyla Kimberly Sharrah, MOT
• Bridget Sharrar
• Sharron Pediatric Center
• Shatara'S Passion Care,Inc
• Shatara'S Passion Care,Inc

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.