Sharon Hartman Polensek, MD., PHD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

52575 Issued in GA

Practice address

1441 Clifton Rd NE
RM 239
Atlanta, GA 30322-1004

Phone

(404) 712-1925

Fax

(404) 712-1927

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sharon Shannon Hartman Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1972618478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 COLES WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501077",
            "telephone_number": "404-712-1925",
            "fax_number": "404-712-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CLIFTON RD NE",
            "address_2": "RM 239",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221004",
            "telephone_number": "404-712-1925",
            "fax_number": "404-712-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLENSEK",
        "first_name": "SHARON",
        "middle_name": "HARTMAN",
        "name_prefix": "Dr.",
        "credential": "MD., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "52575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "HARTMAN",
            "middle_name": "SHANNON",
            "prefix": "DR.",
            "credential": "MD., PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Neurology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.