| Dr Brent A Sharpe, MD | |
|
660 Lanier Park Dr Ste A, Gainesville, GA 30501-2075 | |
| (770) 535-0000 | |
| (770) 532-3911 |
| Full Name | Dr Brent A Sharpe |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 660 Lanier Park Dr Ste A, Gainesville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821041476 | NPI | - | NPPES |
| 5914911 | Medicaid | NC | |
| 003129019A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 26713 (Alabama) | Secondary |
| 208800000X | Urology | 2010-01013 (North Carolina) | Secondary |
| 208800000X | Urology | 052226 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Barrow Regional Medical Center | Winder, GA | Hospital |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Urology, Pa | 8921094376 | 88 |
| Urological Professional Services, Llc | 9638391717 | 62 |
| Entity Name | Georgia Urology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
| Entity Name | Urological Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent A Sharpe, MD 660 Lanier Park Dr Ste A, Gainesville, GA 30501-2075 Ph: (770) 535-0000 | Dr Brent A Sharpe, MD 660 Lanier Park Dr Ste A, Gainesville, GA 30501-2075 Ph: (770) 535-0000 |
Mr. William Bird Jones, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. Ryan Noelle Fogg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Ste 200, Gainesville, GA 30501 Phone: 770-532-8438 Fax: 770-535-1785 | |
Dr. Quinton Victor Cancel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Mr. Ronald Leroy Brock, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660 Lanier Park Drive, Ste A, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Michael Grayson Simmons, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8430 | |
Mr. John Clay Mchugh, M.D. Urology Medicare: Medicare Enrolled Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. David S Woo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy, Suite 200, Gainesville, GA 30501 Phone: 770-532-8438 Fax: 770-535-1785 |