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DR. SIDHARTH SHARMA M.D
NPI 1568790848
Family Medicine in Milton, GA

Active since November 25, 2009Opted out of Medicare · through Apr 1, 2027
980 BIRMINGHAM RD STE 304, MILTON, GA 30004(470) 639-6340(404) 250-8096 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 26, 2021, Feb 26, 2021, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Sidharth Sharma M.d NPPES

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

DR. SIDHARTH SHARMA M.D (NPI 1568790848) is an individual family medicine provider in Milton, Georgia, licensed in Georgia (064967) and active in the NPI registry since November 2009. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568790848
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIDHARTH SHARMACredential: M.D
Location Address980 BIRMINGHAM RD STE 304Milton, GA 30004-4418
Mailing Address2612 Holcomb Bridge Rd, Suite 100Alpharetta, GA 30022-5494 · (770) 650-8980 · Fax (770) 650-5589
Phone(470) 639-6340
Fax(404) 250-8096
Sole ProprietorNo
Enumeration DateNovember 25, 2009
Last NPPES UpdateApril 26, 20214 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1568790848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 064967
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.

980 BIRMINGHAM RD STE 304, Milton, GA 30004
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sidharth Sharma M.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 8

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.
135 services75 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.
77 services61 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.
72 services65 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.
65 services65 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.
23 services13 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30004 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Sidharth Sharma's NPI number?

The NPI number for Sidharth Sharma is 1568790848. It was assigned to this individual provider in the NPPES registry on November 25, 2009.

Where is Sidharth Sharma located?

Sidharth Sharma practices at 980 Birmingham Rd Ste 304, Milton, GA 30004. The listed phone number is (470) 639-6340.

What is Sidharth Sharma's specialty?

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

Is Sidharth Sharma enrolled in Medicare?

No. Sidharth Sharma has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sidharth Sharma was last updated on April 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.