Sharitha Anderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN015242 Issued in GA

Practice address

117 Pavilion Pkwy Ste 15C
Fayetteville, GA 30214-7732

Phone

(770) 953-6975

NPI assigned

Aug 1, 2016

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

• Dr. Sharitha Eboni Herring Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2016.

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1750834255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PAVILION PKWY STE 15C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147732",
            "telephone_number": "770-953-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PAVILION PKWY STE 15C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147732",
            "telephone_number": "770-953-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHARITHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARITHA",
            "last_name": "HERRING",
            "middle_name": "EBONI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emma Day Anderson
• Kyra Anderson
• Louis P. Anderson, PHD
• Odell Anderson Jr., PT
• Reginald Lamont Anderson, RBT, BS
• Anesthesia Adjunct Services, LLC
• Suzana Anic, MD
• Ankle and Foot Clinic of Georgia, Inc.
• Anova'S Skilled Nursing and Home Health Services
• Clara M Antoury, M.D.

• All providers in Fayetteville, GA
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.