Provider Demographics
NPI:1447660998
Name:SHARPLESS, PAUL (PA-C)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:SHARPLESS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-0647
Mailing Address - Country:US
Mailing Address - Phone:910-483-7337
Mailing Address - Fax:910-483-0648
Practice Address - Street 1:1022 N BRAGG BLVD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-3316
Practice Address - Country:US
Practice Address - Phone:910-495-7337
Practice Address - Fax:910-495-0747
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-04992363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC188NEOtherBCBS OF NC
NC1447660998OtherHUMANA
NC1447660998Medicaid
NC1488199OtherWELLPATH
NC13364934OtherPHCS-MULTIPLAN
NC1447660998OtherHEALTHNET FEDERAL SERVICES
NC1447660998OtherDOCTORS DIRECT
NC1488199OtherCOVENTRY OF THE CAROLINAS
NC4163512OtherAETNA
NC4793915OtherUNITED HEALTHCARE
NC1447660998OtherHEALTHSMART
NC4380573OtherCOVENTRY NATIONAL - COVENTRY PPO
NC252010OtherMEDCOST, LLC
NC2593086OtherCIGNA GREATWEST
NCFH4001780OtherFIRST CAROLINA CARE