Individual provider Active NPI

Nirdesh Kumar Sharma, MD

  • Pediatrics Physician
  • Winder, GA
National Provider Identifier
1942432364
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
09-026 Issued in GA
Practice address
133 W Athens St
Winder, GA 30680-1786
Phone
(770) 867-6633
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 09-026 GA Primary

Addresses

Primary practice location

133 W Athens St
Winder, GA 30680-1786

Mailing address

PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160817002010 GA Practitioner - Pediatric Medicine 6305131277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

133 W Athens St
Winder, GA 30680-1786
Phone (770) 867-6633

137 W Athens St
Suite 103
Winder, GA 30680-1786
Phone (770) 867-6633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09-026GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia, Inc CurrentSince May 19, 2016 Accepting new patients
Medlink Georgia Inc CurrentSince May 19, 2016 Accepting new patients
Medlink Georgia Inc Past Accepting new patients

Locations

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234

133 W Athens St
Winder, GA 30680
Phone (770) 867-6633

Interoperability endpoints

  • Direct secure messaging: nirdesh.sharma.1@9864.direct.athenahealth.com
  • Direct secure messaging: nirdesh.sharma@mgi.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1942432364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459",
            "telephone_number": "706-788-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W ATHENS ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801786",
            "telephone_number": "770-867-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "NIRDESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "09-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.