Dr. Jack Kevin Sharp, MD
Dr. Jack Kevin Sharp is a Pediatric Pulmonology Physician provider (Pediatrics) practicing in Wilmington, NC, registered in the NPPES registry with NPI 1104880079 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104880079 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jack Kevin Sharp |
| Credential | MD |
| Sex | Male |
| Practice address | 2131 S 17TH ST, Wilmington, NC, 28401 |
| Phone | 9106628888 |
| Fax | 9106628909 |
| Enumeration date | 2006-04-17 |
| Last updated in NPPES | 2023-07-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080P0214X | Pediatric Pulmonology Physician | Secondary | 216985-1 | NY |
| 2080P0214X | Pediatric Pulmonology Physician | Secondary | 216985 | NY |
| 2080P0214X | Pediatric Pulmonology Physician | Primary | 2012-01911 | NC |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00021037301 | Other | — | UNIVERA |
| 001819708001 | Medicaid | PA | — |
| 000525957001 | Other | — | BC/BS |
| 4410946 | Other | — | IHA |
| 040426001868 | Other | — | FIDELIS |
| 02062031 | Medicaid | NY | — |
Copy-ready billing details
Provider: Jack Sharp, MD NPI: 1104880079 Taxonomy: 2080P0214X (Pediatric Pulmonology Physician) Address: 2131 S 17TH ST, Wilmington, NC, 28401
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Organization | Anesthesiology Physician | Wilmington, NC |
| 1538161617 | Christine Sanford | Individual | Pediatric Nurse Practitioner | Wilmington, NC |
| 1295739647 | Thomas Clancy | Individual | Surgery Physician | Wilmington, NC |
| 1124023528 | Cyrus Kotwall | Individual | Surgery Physician | Wilmington, NC |
| 1689679052 | Walter Gajewski | Individual | Gynecologic Oncology Physician | Wilmington, NC |
| 1811992290 | Marvin Hage | Individual | Maternal & Fetal Medicine Physician | Wilmington, NC |
| 1972508216 | Laif Lofgren | Individual | Obstetrics & Gynecology Physician | Wilmington, NC |
| 1043215080 | Barry Amos | Individual | Anesthesiology Physician | Wilmington, NC |
Verify this record
Cross-check NPI 1104880079 against the authoritative CMS record: view Dr. Jack Kevin Sharp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-12.