Active NPI
Sharon E Smith, SLP
- Speech-Language Pathologist
- Hephzibah, GA
National Provider Identifier
1942366778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004570
- Practice address
- 2367 Ga Highway 88
Hephzibah, GA 30815-4630 - Phone
- (706) 592-5565
- Fax
- (706) 751-0825
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP004570 | GA | Primary |
Addresses
Primary practice location
2367 Ga Highway 88
Hephzibah, GA 30815-4630
Mailing address
2 Shadowmoor CT
North Augusta, SC 29841-6016
Phone (803) 278-2826
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308505 | Other | GA | WELLCARE |
| 10040561 | Other | GA | AMERIGROUP |
| 000877753C | Medicaid | GA |
Other names 1
- Ms. Sharon T Cross
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 |
|---|---|---|---|
| SLP004570 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1942366778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SHADOWMOOR CT",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298416016",
"telephone_number": "803-278-2826",
"fax_number": "803-278-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2367 GA HIGHWAY 88",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308154630",
"telephone_number": "706-592-5565",
"fax_number": "706-751-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHARON",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "308505",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10040561",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000877753C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "CROSS",
"middle_name": "T",
"prefix": "MS.",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hephzibah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.