MARLON LEE-BRITTON SHARPE M.D.
NPI 1174888366
Family Medicine in North Augusta, SC

Q: What is Marlon Sharpe's NPI number?

The NPI number for Marlon Sharpe is 1174888366. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Q: What is Marlon Sharpe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marlon Sharpe was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 12, 2012PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

107 WALNUT LN STE 101, NORTH AUGUSTA, SC 29860(803) 202-7159(803) 202-7158 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2021, Nov 28, 2018, Jul 12, 2018 and 5 more (8 updates tracked since 2016).

On this page

About Marlon Lee-britton Sharpe M.d. NPPES

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

MARLON LEE-BRITTON SHARPE M.D. (NPI 1174888366) is an individual family medicine provider in North Augusta, South Carolina, licensed in Georgia (075897) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1174888366

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARLON LEE-BRITTON SHARPECredential: M.D.

Location Address107 WALNUT LN STE 101North Augusta, SC 29860

Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (706) 774-7230

Phone(803) 202-7159

Fax(803) 202-7158

Sole ProprietorYes

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012

Enumeration DateJuly 12, 2012

Last NPPES UpdateMay 12, 20218 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1174888366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 075897✔ Licensed in SC · 34955

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

107 WALNUT LN STE 101, North Augusta, SC 29860

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Secondary Practice Locations 13

Location 1315 Fluker StThomson, GA 30824-2108 · Phone (706) 595-1090

Location 2447 N Belair Rd Ste 101Evans, GA 30809-3091 · Phone (706) 854-2222 · Fax (706) 854-2223

Location 3107 Walnut Ln Ste 102North Augusta, SC 29860-8629 · Phone (803) 202-7110 · Fax (803) 202-7111

Location 43515 Richland AveAiken, SC 29801-6311 · Phone (803) 642-2626 · Fax (803) 642-2960

Location 54720 Washington RdEvans, GA 30809-5875 · Phone (706) 650-0111 · Fax (706) 651-1882

Location 6925 Branch Court Suite 201Grovetown, GA 30813 · Phone (706) 396-3570 · Fax (706) 396-3590

Location 73486 Peach Orchard Road Suite 100Augusta, GA 30906 · Phone (706) 828-8000 · Fax (706) 828-8001

Location 83121 Peach Orchard Road Suite 103Augusta, GA 30906 · Phone (706) 792-5075 · Fax (706) 792-5085

Location 91100 West Lake Common DriveMartinez, GA 30907 · Phone (706) 228-2565 · Fax (706) 868-1405

Location 10477 North Belair Road Suite 104Evans, GA 30809 · Phone (706) 854-2180 · Fax (706) 854-2189

Location 11465 North Belair Road Suite 2BEvans, GA 30809 · Phone (706) 774-7400 · Fax (706) 774-7590

Location 121023 Silver Bluff RoadAiken, SC 29803 · Phone (803) 502-5515 · Fax (803) 502-5514

Location 13309 West AvenueNorth Augusta, SC 29841 · Phone (803) 279-1412 · Fax (803) 279-2858

Other Identifiers 2

OtherP01402558SC · Railroad Medicare

Medicaid349554SC

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlon Lee-britton Sharpe M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305084989

PECOS Enrollment IDI20150106001808, I20161003002030

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Marlon Sharpe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umg Primary Care South Carolina, LLC

12 mi

Family Medicine

1023 SILVER BLUFF ROAD
Aiken, SC 29803

Reassigned Medicare billing, South Carolina enrollment
22 clinicians in this Medicare group

NPI 1851747190 (803) 502-5515

Piedmont Professional Services, LLC

133 mi

Nephrology

1855 HUDSON BRIDGE RD
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia and South Carolina enrollments
565 clinicians in this Medicare group

NPI 1104088905 (770) 801-2500

Piedmont Medical Care Corporation

140 mi

Internal Medicine

240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307

Reassigned Medicare billing, Georgia and South Carolina enrollments
427 clinicians in this Medicare group

NPI 1912956046 (404) 658-9840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,127 services626 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

432 services432 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

360 services45 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

243 services159 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

226 services146 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

102 services45 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

87 services80 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

76 services75 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

73 services72 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

48 services17 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

41 services41 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

40 services40 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

31 services28 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

31 services31 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

24 services23 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

18 services18 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

17 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420082

Location302 University ParkwayAiken, SC 29801 · Aiken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.78

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

99%362 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers43 claims112 services$6.02 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers17 claims28 services$1.06 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims207 services$29.48 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers14 claims59 services$1.49 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers59 claims59 services$13.74 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers14 claims14 services$25.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

YOLANDA BRYANT MD

Family Medicine

107 WALNUT LN STE 101
NORTH AUGUSTA, SC 29860

Edgefield County (803) 202-7159

ABIGAIL BRANTLEY NP

Nurse Practitioner

107 WALNUT LN STE 101
NORTH AUGUSTA, SC 29860

Edgefield County (803) 202-7159

JEREMY LEAF DNP,FNP-BC

Nurse Practitioner (Family)

107 WALNUT LN STE 101
NORTH AUGUSTA, SC 29860

Edgefield County (803) 202-7159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlon Sharpe's NPI number?

The NPI number for Marlon Sharpe is 1174888366. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Marlon Sharpe located?

Marlon Sharpe practices at 107 Walnut Ln Ste 101, North Augusta, SC 29860. The listed phone number is (803) 202-7159.

What is Marlon Sharpe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marlon Sharpe enrolled in Medicare?

Yes. Marlon Sharpe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marlon Sharpe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlon Sharpe reassigns Medicare benefits to 3 organizations: Umg Primary Care South Carolina, LLC (Aiken, SC), Piedmont Professional Services, LLC (Stockbridge, GA) and Piedmont Medical Care Corporation (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlon Sharpe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlon Sharpe accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Marlon Sharpe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marlon Sharpe affiliated with any hospitals?

According to CMS data, Marlon Sharpe is affiliated with Piedmont Augusta Hospital, Au Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Marlon Sharpe was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.