Individual provider Active NPI

Gary C Sharp, M.D.

  • Family Medicine Physician
  • Greenfield, IN
National Provider Identifier
1871586941
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01025164 Issued in IN
Practice address
1471 Jason Rd
Greenfield, IN 46140-1039
Phone
(317) 462-4233
Fax
(317) 462-7280
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01025164 IN Primary

Addresses

Primary practice location

1471 Jason Rd
Greenfield, IN 46140-1039

Mailing address

1471 Jason Rd
Greenfield, IN 46140-1039
Phone (317) 462-4233

Other identifiers 1

IdentifierTypeStateIssuer
100127570AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000617 IN Practitioner - Family Practice 3072572155 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01025164INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Health Gateway Services, Inc. Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Hancock Physician Network, LLC Family Medicine CurrentSince Sep 28, 2015 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Sep 9, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

6189 W John L Modglin Dr
Ste 101
Greenfield, IN 46140
Phone (317) 866-7300

1471 Jason Rd
Greenfield, IN 46140
Phone (317) 462-2420

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

120 W McKenzie Rd
Ste H
Greenfield, IN 46140
Phone (317) 462-2335

Organizations & group practices 5

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1871586941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 JASON RD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401039",
            "telephone_number": "317-462-4233",
            "fax_number": "317-462-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 JASON RD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401039",
            "telephone_number": "317-462-4233",
            "fax_number": "317-462-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "GARY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01025164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100127570A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.