Organization Active NPI

C P Sharma,M.D PC

Doing business as Chandi P Sharma, M.D PC

  • Internal Medicine Physician
  • College Park, GA
National Provider Identifier
1811152606
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017736 Issued in GA
Legal business name
C P SHARMA,M.D PC
Doing business as
Chandi P Sharma, M.D PC
Practice address
3681 Auditorium Way
College Park, GA 30337-2601
Phone
(404) 766-5361
Fax
(404) 766-5362
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Chandi P Sharma, M.DNPI 1275693616
Title
President
Phone
(404) 766-5361

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
Internal Medicine Physician 207R00000X 017736 GA Primary

Addresses

Primary practice location

3681 Auditorium Way
College Park, GA 30337-2601

Mailing address

3681 Auditorium Way
College Park, GA 30337-2601
Phone (404) 766-5361

Other identifiers 1

IdentifierTypeStateIssuer
000143954EMedicaidGA

Other names 1

  • CHANDI P SHARMA, M.D PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000457 GA Part B Supplier - Clinic/Group Practice 8820163371 Receives reassigned benefits from 1 practitioner
Practice locations: College Park, GA

National Provider Directory

National Provider Directory

Locations

3681 Auditorium Way
College Park, GA 30337
Phone (404) 766-5361

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1811152606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 AUDITORIUM WAY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303372601",
            "telephone_number": "404-766-5361",
            "fax_number": "404-766-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 AUDITORIUM WAY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303372601",
            "telephone_number": "404-766-5361",
            "fax_number": "404-766-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C P SHARMA,M.D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "CHANDI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-766-5361",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "017736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143954E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANDI P SHARMA, M.D PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.