Ashley Nicole Sparks, APRN, FNP-C, ENP-C is a medicare enrolled "Internal Medicine" in Atlanta, Georgia. Her current practice location is
5665 Peachtree Dunwoody Rd, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 843-7001.
Ashley Nicole Sparks is licensed to practice in Georgia (license number RN271602) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225763469.
Provider's Profile
| Full Name | Ashley Nicole Sparks |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 5665 Peachtree Dunwoody Rd, Atlanta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225763469
- Provider Enumeration Date: 07/21/2022
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567845787
- Enrollment ID: I20220819001717
Medical Identifiers
Medical identifiers for Ashley Nicole Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225763469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN271602 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN271602 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | RN271602 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashley Nicole Sparks allows following entities to bill medicare on her behalf.
| Entity Name | Tmc Immediate Care, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386708097
PECOS PAC ID: 9133105976
Enrollment ID: O20040624000840 |
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| Entity Name | Piedmont Professional Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104088905
PECOS PAC ID: 8921176231
Enrollment ID: O20081014000187 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Nicole Sparks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ashley Nicole Sparks, APRN, FNP-C, ENP-C
5665 Peachtree Dunwoody Rd,
Atlanta, GA 30342-1764
Ph: (678) 843-7001 | Ashley Nicole Sparks, APRN, FNP-C, ENP-C
5665 Peachtree Dunwoody Rd,
Atlanta, GA 30342-1764
Ph: (678) 843-7001 |
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