NPIMap

Individual provider Active NPI

Ahmed Elsharkawi, M.D.

  • Nephrology Physician
  • Brunswick, GA
National Provider Identifier
1861456378
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
55128 Issued in GA
Practice address
3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785
Phone
(912) 262-2723
Fax
(912) 264-5609
NPI assigned
Apr 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 55128 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785

Mailing address

3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785
Phone (912) 262-2723

Other identifiers 8

IdentifierTypeStateIssuer
663552717QMedicaidGA
663552717LMedicaidGA
055128OtherGAGA STATE LICENSE
663552717RMedicaidGA
663552717JMedicaidGA
663552717MMedicaidGA
663552717PMedicaidGA
663552717KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000120 GA Practitioner - NephrologyPractitioner - Internal Medicine 6002829587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahmed Elsharkawi MD LLCGroup PAC ID 4385781467, 7 clinicians

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 270
Brunswick, GA 31520-4785
Phone (912) 262-2723

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55128GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Elsharkawi MD LLC Nephrology CurrentSince Aug 17, 2009 Accepting new patients
Ahmed Elsharkawi, MD LLC Nephrology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

105 E Tollison St
Ste B
Baxley, GA 31513
Phone (912) 366-6600

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Phone (912) 262-2723

3025 Shrine Rd
Ste 450
Brunswick, GA 31520
Phone (912) 264-4613

390 Eh Ct
Brunswick, GA 31520
Phone (912) 267-4900

475 Gateway Center Blvd
Brunswick, GA 31525
Phone (205) 271-2129

301 Peachtree St
Jesup, GA 31545
Phone (912) 427-8946

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGBCD

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861456378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 270",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204785",
            "telephone_number": "912-262-2723",
            "fax_number": "912-264-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 270",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204785",
            "telephone_number": "912-262-2723",
            "fax_number": "912-264-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHARKAWI",
        "first_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "55128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663552717Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663552717L",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE",
            "identifier": "055128",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663552717R",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663552717J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663552717M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663552717P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663552717K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.