Active NPI
Sharria Anderson, PSYD
- Psychologist
- Mableton, GA
National Provider Identifier
1750042834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 6055 Wedgewood Dr SE
Mableton, GA 30126-4420 - Phone
- (305) 319-9837
- NPI assigned
- Dec 31, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
6055 Wedgewood Dr SE
Mableton, GA 30126-4420
Mailing address
3115 Avondale PT
Powder Springs, GA 30127-5093
Phone (305) 319-9837
Other practice location 1
3115 Avondale Pt
Powder Springs, GA 30127-5093
Phone (305) 319-9837
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750042834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 AVONDALE PT",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301275093",
"telephone_number": "305-319-9837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 WEDGEWOOD DR SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301264420",
"telephone_number": "305-319-9837"
}
],
"practiceLocations": [
{
"address_1": "3115 Avondale Pt",
"address_purpose": "LOCATION",
"city": "Powder Springs",
"state": "GA",
"postal_code": "301275093",
"country_code": "US",
"telephone_number": "305-319-9837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "SHARRIA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-31",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.