Active NPI
Sharisma George
- Assisted Living Facility
- Decatur, GA
National Provider Identifier
1841885191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 010088
- Practice address
- 3426 Glenwood Rd
Decatur, GA 30032-4408 - Phone
- (404) 458-5818
- NPI assigned
- Mar 8, 2021
- Last updated
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 010088 | GA | Primary |
Addresses
Primary practice location
3426 Glenwood Rd
Decatur, GA 30032-4408
Mailing address
3774 River Rock
Lithonia, GA 30058
Phone (470) 350-4396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010088 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foxx Laboratories and Screening | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Marietta, GA
- NPI 1639822083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1841885191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3774 RIVER ROCK",
"city": "LITHONIA",
"state": "GA",
"postal_code": "30058",
"telephone_number": "470-350-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 GLENWOOD RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300324408",
"telephone_number": "404-458-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "SHARISMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "GA",
"license": "010088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.