DR. JACK KEVIN SHARP MD
NPI 1104880079
Pediatrics - Pediatric Pulmonology in Wilmington, NC

Q: What is Jack Sharp's NPI number?

The NPI number for Jack Sharp is 1104880079. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Q: What is Jack Sharp's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Jack Sharp was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2006

2131 S 17TH ST, WILMINGTON, NC 28401(910) 662-8888(910) 662-8909 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Kevin Sharp Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK KEVIN SHARP MD (NPI 1104880079) is an individual pediatric pulmonology provider in Wilmington, North Carolina, licensed in North Carolina (2012-01911) and active in the NPI registry since April 2006. He maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1104880079

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameDR. JACK KEVIN SHARPCredential: MD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 662-8888 · Fax (910) 662-8909

Phone(910) 662-8888

Fax(910) 662-8909

Sole ProprietorNo

Enumeration DateApril 17, 2006

Last NPPES UpdateJuly 12, 2023

NPPES CertifiedJuly 12, 2023

✔ NPI 1104880079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

Licenses✔ Licensed in NC · 2012-01911✔ Licensed in NY · 216985-1✔ Licensed in NY · 216985

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

2131 S 17TH ST, Wilmington, NC 28401

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Secondary Practice Location 1

Location 1219 Bryant StreetBuffalo, NY 14222-2006 · Phone (716) 878-7524 · Fax (716) 888-3945

Other Identifiers 6

Other00021037301Univera

Medicaid001819708001PA

Other000525957001Bc/bs

Other4410946Iha

Other040426001868Fidelis

Medicaid02062031NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW HANOVER REGIONAL MEDICAL CENTER

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