Gregory Evan Sharp, M.D.
Individual provider Active NPI Family Medicine Physician · Manitou Springs, CO
NPI 1679564827 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1679564827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 40965 (CO)
- Practice address
- 335 Manitou Ave
Manitou Springs, CO 80829-2537 - Phone
- (719) 686-8844
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Washington University School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Mission St
Suite 800
San Francisco, CA 94105-1705
101 Mission St
Suite 800
San Francisco, CA 94105-1744
107 Bevers PL
Manitou Springs, CO 80829-2701
15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029
335 Manitou Ave
Manitou Springs, CO 80829-2537
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050224000428 | CO | Practitioner - Family Practice | 2961453824 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40965 | CO | MD | Family Medicine Physician |
| 95170 | GA | MD | Family Medicine Physician |
| 68244 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Sharp MD PLLC | Family Medicine | Current |
Accepting new patients |
| Samg Inc | Past | Accepting new patients |
Locations
335 Manitou Ave
Manitou Springs, CO 80829
Phone (719) 686-8844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40965 | CO | Yes |
| Family Medicine Physician | 207Q00000X | 95170 | GA | |
| Family Medicine Physician | 207Q00000X | 68244 | TN |
Addresses
Primary practice location
335 Manitou Ave
Manitou Springs, CO 80829-2537
Mailing address
335 Manitou Ave
Manitou Springs, CO 80829-2537
Phone (719) 686-8844
Other practice location 1
335 Manitou Ave
Manitou Springs, CO 80829-2537
Phone (719) 686-8844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 665966 | Other | CO | ANTHEM BC/BS PROVIDER # |
Other providers in Manitou Springs, CO
- Dayne Quello
- Roxanne Upshaw, Inc.
- Sacred Fields Healing
- Guy Lynn Scarborough Jr.
- Serenity Springs Consulting, LLC
- Richard Carroll Sinclair
- Denise Mary Spangler
- Janet Marie Starr
- Savannah Summer-Weiss
- Talk Therapy Corporation
All providers in Manitou Springs, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.