Individual provider Active NPI

Stephen Erik Sharpe, PA-C

  • Physician Assistant
  • Hendersonville, TN
National Provider Identifier
1831277755
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000001464 Issued in TN
Practice address
107 Glen Oak Blvd.
Suite 201
Hendersonville, TN 37075-3162
Phone
(615) 822-2400
Fax
(615) 822-9641
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1464 TN
Physician Assistant 363A00000X PA0000001464 TN Primary

Addresses

Primary practice location

107 Glen Oak Blvd.
Suite 201
Hendersonville, TN 37075-3162

Mailing address

107 Glen Oak Blvd.
Suite 201
Hendersonville, TN 37075-3162
Phone (615) 822-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000520 TN Practitioner - Physician Assistant 5698776037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1464TNMDPhysical Therapist
PA0000001464TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Sep 1, 2010 Accepting new patients
Music City Prep Clinic PastSince Mar 12, 2024 Accepting new patients
Music City Physicians Group PLLC PastSince Oct 1, 2022 Accepting new patients

Locations

225 Big Station Camp Blvd
Gallatin, TN 37066
Phone (615) 328-3380

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

Interoperability endpoints

  • Direct secure messaging: stephen.sharpe.1@17956.direct.athenahealth.com
  • Direct secure messaging: stephen.sharpe.1@27394.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17956/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1831277755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD.",
            "address_2": "SUITE 201",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753162",
            "telephone_number": "615-822-2400",
            "fax_number": "615-822-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD.",
            "address_2": "SUITE 201",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753162",
            "telephone_number": "615-822-2400",
            "fax_number": "615-822-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "STEPHEN",
        "middle_name": "ERIK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1464",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000001464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.