NPIMap

Organization Active NPI

The Sharon Clinic, PLLC

  • Medical Physician Assistant
  • Sharon, TN
National Provider Identifier
1831242155
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00127 Issued in TN
Legal business name
THE SHARON CLINIC, PLLC
Doing business as
The Sharon Clinic, PLLC
Practice address
5320 US Highway 45
Sharon, TN 38255-4064
Phone
(731) 456-2006
NPI assigned
Jan 19, 2007
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Kimberly Annettee Gibbons
Title
Business Manager
Phone
(731) 456-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00127 TN Primary

Addresses

Primary practice location

5320 US Highway 45
Sharon, TN 38255-4064

Mailing address

PO Box 297
Sharon, TN 38255-0297
Phone (731) 456-2006

Other names 1

  • The Sharon Clinic, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

5320 US Highway 45
Sharon, TN 38255
Phone (731) 456-2006

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1831242155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "SHARON",
            "state": "TN",
            "postal_code": "382550297",
            "telephone_number": "731-456-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 US HIGHWAY 45",
            "city": "SHARON",
            "state": "TN",
            "postal_code": "382554064",
            "telephone_number": "731-456-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHARON CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNETTEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "731-456-2006"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA00127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sharon Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.