NPIMap

Individual provider Active NPI

Jonathan Sharley, MD

  • Family Medicine Physician
  • Holt, MI
National Provider Identifier
1992325492
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301509808 Issued in MI
Practice address
4410 Holt Rd
Holt, MI 48842-1673
Phone
(517) 258-0855
Fax
(517) 210-2202
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301509808 MI Primary

Addresses

Primary practice location

4410 Holt Rd
Holt, MI 48842-1673

Mailing address

4410 Holt Rd
Holt, MI 48842-1673
Phone (517) 258-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720003238 MI Practitioner - Family Practice 0244654622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301509808MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Group Family Medicine Current Accepting new patients
Family and Lifestyle Medicine Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
Mymichigan Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Aug 1, 2023 Accepting new patients
Mymichigan Medical Center Sault Family Medicine CurrentSince Sep 9, 2025 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Sep 9, 2025 Accepting new patients

Locations

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4410 Holt Rd
Holt, MI 48842
Phone (517) 258-0855

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1992325492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 HOLT RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421673",
            "telephone_number": "517-258-0855",
            "fax_number": "517-210-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 HOLT RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421673",
            "telephone_number": "517-258-0855",
            "fax_number": "517-210-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARLEY",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301509808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

Verify at the official NPI Registry.