DR. PRASHANT SHARMA (M.D.) – Gastroenterology Physician, NPI 1902059314
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
524 GASTROENTEROLOGY in GA
Provider Addresses for DR. PRASHANT SHARMA (M.D.)
157, Clinic Avenue, Carrollton, Carroll County, Georgia, 30117, United States
SUITE 201
CARROLLTON, GA 301174454
Phone: (770) 214-2800
Fax: (770) 214-2800
Type: Mailing
690 Dallas Hwy Ste 103
Villa Rica, GA 301801265
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
204 Allen Memorial Dr Ste 302B
Bremen, GA 301102047
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
160 Clinic Ave
Carrollton, GA 301174451
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
157 CLINIC AVE STE 201
CARROLLTON, GA 301174454
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $3,088.
Total Amount is formed as General ($3,088) + Research ($0) + Ownership ($0) = $3,088.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($532).
Total Amount
$3,088
General + Research + Ownership
Payments
123
Total payment records
General Amount
$3,088
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130626000838 | I | Gastroenterology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 148 | 142 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 91 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 74 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 81 | 81 | $0 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 77 | 74 | $0 |
Insurance plans in this area (ZIP 30117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | GA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 56 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA |
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