SDD Management

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SDD MANAGEMENT

Practice address

160 Boiling Brook Dr
Statesville, NC 28625-2756

Phone

(704) 450-8576

NPI assigned

Mar 6, 2021

Last updated

Mar 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharan AdamsNPI 1396336400

Title

Owner

Phone

(704) 450-8576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharan Adams, NP

  • Nurse Practitioner
  • Statesville, NC
  • NPI 1396336400
  NPD Authorized official

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1770178212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOILING BROOK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252756",
            "telephone_number": "704-450-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BOILING BROOK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252756",
            "telephone_number": "704-450-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDD MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SHARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-450-8576"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginnifer Stephens Scott, M.A., C.C.C.
• Lisa Scott, RN
• Patricia W. Scott
• Sculpted by Resilience LLC (SBR Home Accessibility)
• Susan Scutchings
• Latisha Nicole Sealey, LCMHC
• Seema Garcha MD PA
• John Aldus Alexander Seldomridge III, MD
• Craig S Self, MD
• Sylvia Self, CRNA

• Family Nurse Practitioner in Statesville, NC
• Providers in Statesville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.