Active NPI
Sharon Staruch-Christopher, PA
- Medical Physician Assistant
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA14124
- Practice address
- 771 Old Norcross Rd
Lawrenceville, GA 30046-4386 - Phone
- (949) 276-4141
- NPI assigned
- Oct 26, 2012
- Last updated
- Jun 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA14124 | CA | Primary |
| Dermatology Physician | 207N00000X | 10667 | GA |
Addresses
Primary practice location
771 Old Norcross Rd
Lawrenceville, GA 30046-4386
Mailing address
771 Old Norcross Rd Ste 260
Lawrenceville, GA 30046-4981
Phone (770) 962-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
771 Old Norcross Rd
Suite 260
Lawrenceville, GA 30046-4981
Phone (770) 962-5040
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.02 of 100
- Quality
- 88.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14124 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Dermatology, P.C. | Dermatology | Current | Accepting new patients |
| Richard a. Gangnes M.D. Inc. | Past | Accepting new patients | |
| Pacificoast Ambulatory Surgicenter, LLC. | Past | Accepting new patients |
Locations
2089 Teron Trce
Ste 200
Dacula, GA 30019
Phone (770) 848-5300
771 Old Norcross Rd
Ste 260
Lawrenceville, GA 30046
Phone (770) 962-5040
Interoperability endpoints
- schristopher@dca.emadirect.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Albany, GA
- NPI 1184005068
-
- Specialist
- Duluth, GA
- NPI 1295800803
-
- Dermatology Physician
- Lawrenceville, GA
- NPI 1154483139
-
dba Pacific Coast Ambulatory Surgicenter
- Ambulatory Surgical Clinic/Center
- San Clemente, CA
- NPI 1669405684
-
dba Facial Aesthetic concepts
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- San Clemente, CA
- NPI 1568495562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685836800000",
"number": "1720332851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 OLD NORCROSS RD STE 260",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464981",
"telephone_number": "770-962-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464386",
"telephone_number": "949-276-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARUCH-CHRISTOPHER",
"first_name": "SHARON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2023-06-04",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA14124",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "10667",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; 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.