Active NPI
Sharon Lynn Nemecek, CSFA
- Surgical Physician Assistant
- Smyrna, GA
National Provider Identifier
1720262116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 162916
- Practice address
- 1051 Whitfield CT SE
Smyrna, GA 30080-2242 - Phone
- (404) 277-9077
- NPI assigned
- Dec 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 162916 | GA | Primary |
Addresses
Primary practice location
1051 Whitfield CT SE
Smyrna, GA 30080-2242
Mailing address
PO Box 20411
Atlanta, GA 30325-0411
Phone (404) 277-9077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162916 | GA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1720262116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20411",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303250411",
"telephone_number": "404-277-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 WHITFIELD CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802242",
"telephone_number": "404-277-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMECEK",
"first_name": "SHARON",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "162916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.