Organization Active NPI

Sharpe Primary Care LLC

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1750150462
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHARPE PRIMARY CARE LLC
Practice address
4889 Sinclair Rd Ste 103
Columbus, OH 43229-5433
Phone
(614) 396-7582
Fax
(937) 806-4095
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Oliver Derick Sharpe, NPNPI 1457718538
Title
Family Nurse Practitioner
Phone
(614) 396-7582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4889 Sinclair Rd Ste 103
Columbus, OH 43229-5433

Mailing address

121 Kennedy Park Dr
Granville, OH 43023-6501
Phone (614) 396-7582

Other practice location 1

4889 Sinclair Rd Ste 103
Columbus, OH 43229-5433
Phone (614) 817-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118003805 OH Part B Supplier - Clinic/Group Practice 4688026248 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

4889 Sinclair Rd
Ste 103
Columbus, OH 43229
Phone (614) 396-7582

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1750150462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 KENNEDY PARK DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430236501",
            "telephone_number": "614-396-7582",
            "fax_number": "937-806-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR RD STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295433",
            "telephone_number": "614-396-7582",
            "fax_number": "937-806-4095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4889 Sinclair Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432295433",
            "country_code": "US",
            "telephone_number": "614-817-7665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHARPE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "DERICK",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-396-7582",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.