SHARLENE R QUARLESS PA NPI 1881816825

NPI Information

NPI: 1881816825
Provider Name: SHARLENE R QUARLESS, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
55 WHITCHER ST NE
SUITE 350
MARIETTA, GA
ZIP 30060
Phone: (770) 424-6893
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Sharlene R Quarless, PA is a surgical physician assistant in Marietta, GA with 18 years of experience. Sharlene R Quarless, PA NPI is 1881816825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 WHITCHER ST NE
SUITE 350
MARIETTA, GA
ZIP 30060-155
Phone: (770) 424-6893
Fax: (770) 422-8956

The NPI 1881816825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 5/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		005783	GEORGIA	No
2	363AS0400X	Physician Assistant	Surgical	P54368	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003133456B	MEDICAID	GEORGIA
2	003133456A	MEDICAID	GEORGIA
3	PA LICENSE 5783	OTHER	GEORGIA	GEORGIA COMPOSITE STATE BOARD
4	003133456C	MEDICAID	GEORGIA
5	P54368	OTHER	NEW YORK	NYS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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