Individual provider Active NPI

Sharon Bourdon Ganey, CRNP

  • Nurse Practitioner
  • Spanish Fort, AL
National Provider Identifier
1932521374
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-125908 Issued in AL
Practice address
30762 State Highway 181
Spanish Fort, AL 36527-5672
Phone
(251) 626-0732
NPI assigned
Jan 18, 2014
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-125908 AL Primary
Family Nurse Practitioner 363LF0000X ARNP 9375017 FL
Pain Medicine Physician 208VP0000X 1-125908 AL

Addresses

Primary practice location

30762 State Highway 181
Spanish Fort, AL 36527-5672

Mailing address

30762 State Highway 181
Spanish Fort, AL 36527-5672
Phone (251) 626-0732

Other practice location 1

3610 Springhill Memorial Dr N Ste 160
Mobile, AL 36608-1162
Phone (251) 410-3600

Other practice location 2

110 N Lafayette St
Mobile, AL 36604-2208
Phone (270) 370-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150619000563 AL Practitioner - Nurse Practitioner 7618107269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Health of South Alabama IncGroup PAC ID 3971867953, 8 clinicians

Practice addresses (Care Compare)

30762 State Hwy 181
Spanish Fort, AL 36527-5672
Phone (251) 626-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9375017FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Health of South Alabama, Inc CurrentSince Jan 1, 2021 Accepting new patients
Alabama Orthopaedic Clinics, PC Past Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

22394 Miflin Rd
Ste 104
Foley, AL 36535
Phone (251) 408-9287

3280 Dauphin St
Bldg A
Mobile, AL 36606
Phone (251) 450-3700

30762 State Highway 181
Spanish Fort, AL 36527
Phone (251) 444-1999

Interoperability endpoints

  • Direct secure messaging: sganey83594@directinfirmaryhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1932521374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30762 STATE HIGHWAY 181",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275672",
            "telephone_number": "251-626-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30762 STATE HIGHWAY 181",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275672",
            "telephone_number": "251-626-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Springhill Memorial Dr N Ste 160",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081162",
            "country_code": "US",
            "telephone_number": "251-410-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366042208",
            "country_code": "US",
            "telephone_number": "270-370-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANEY",
        "first_name": "SHARON",
        "middle_name": "BOURDON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-125908",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9375017",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "1-125908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.