| Jordan Sparks, PA-C | |
|
3527 N Valdosta Rd, Valdosta, GA 31602-6418 | |
| (229) 520-7590 | |
| Not Available |
| Full Name | Jordan Sparks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 3527 N Valdosta Rd, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245925544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 11552 (Georgia) | Primary |
| 246ZX2200X | Specialist/technologist, Other - Orthopedic Assistant | 11552 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Sparks, PA-C 3527 N Valdosta Rd, Valdosta, GA 31602-6418 Ph: (229) 520-7590 | Jordan Sparks, PA-C 3527 N Valdosta Rd, Valdosta, GA 31602-6418 Ph: (229) 520-7590 |
Chaeli Wisenbaker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 | |
Ashly Mcdaniel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2290 | |
Mr. Lonas Edward Lewis Ii, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3251 Inner Perimeter Rd Ste B, Valdosta, GA 31602 Phone: 229-259-0006 Fax: 229-259-0803 | |
Dana Woods Simpson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 Woodrow Wilson Dr, Valdosta, GA 31602 Phone: 229-241-0041 Fax: 229-241-0048 | |
Matthew Allan Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 | |
Ms. Shonta K Winbush, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 704 Gil Harbin Ind Blvd, Valdosta, GA 31602 Phone: 229-242-9003 Fax: 229-242-0490 | |
Lela Faircloth Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 |