Individual provider Active NPI

Sharlet Slough, DO

  • Hospitalist Physician
  • Kingsport, TN
National Provider Identifier
1932118072
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
5043 Issued in TN
Practice address
4 Sheridan SQ Ste 200
Kingsport, TN 37660-7435
Phone
(423) 246-7931
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0277 TX
Internal Medicine Physician 207R00000X 5143 TN
Hospitalist Physician 208M00000X M0277 TX
Hospitalist Physician 208M00000X 5043 TN Primary

Addresses

Primary practice location

4 Sheridan SQ Ste 200
Kingsport, TN 37660-7435

Mailing address

PO Box 699
Mountain Home, TN 37684-0699

Other practice location 1

6115 New Copeland Rd Ste 240
Tyler, TX 75703
Phone (903) 617-6239

Other practice location 2

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

Other practice location 3

325 N State Of Franklin Rd Fl 2
Johnson City, TN 37604-6092
Phone (423) 439-7280

Other identifiers 3

IdentifierTypeStateIssuer
185214706MedicaidTX
749167OtherTXMEDICARE
Q080258MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070416000466 TX Practitioner - Internal MedicinePractitioner - Family Practice 5597869594 Reassigns benefits to 5 organizations
Practice locations: Tyler, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-1511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5043TNMDProfessional Counselor
M0277TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Mar 10, 2017 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jul 12, 2012 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 12, 2012 Accepting new patients
Shannon Clinic Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Bsa Physicians Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Bsa Physicians Group Inc Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Mar 10, 2017 Accepting new patients
Medical Education Assistance Corporation Internal Medicine PastSince Jan 31, 2023 Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

764 W Commerce St
Fairfield, TX 75840
Phone (903) 389-2181

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: sslough73617@shannonhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1932118072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHERIDAN SQ STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607435",
            "telephone_number": "423-246-7931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6115 New Copeland Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "75703",
            "country_code": "US",
            "telephone_number": "903-617-6239",
            "fax_number": "903-617-6249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "79106",
            "country_code": "US",
            "telephone_number": "806-212-2129",
            "fax_number": "806-212-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 N State Of Franklin Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046092",
            "country_code": "US",
            "telephone_number": "423-439-7280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOUGH",
        "first_name": "SHARLET",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0277",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "5143",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M0277",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "5043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185214706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "749167",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q080258",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.