Jordan Sparks, PA-C - Medicare Physician Assistant in Valdosta, GA

Jordan Sparks, PA-C is a medicare enrolled "Physician Assistant - Medical" in Valdosta, Georgia. His current practice location is 3527 N Valdosta Rd, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 520-7590.

Jordan Sparks is licensed to practice in Georgia (license number 11552) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245925544.

Contact Information

Jordan Sparks, PA-C
3527 N Valdosta Rd,
Valdosta, GA 31602-6418
(229) 520-7590
Not Available



Provider's Profile

Full NameJordan Sparks
GenderMale
SpecialityPhysician Assistant - Medical
Location3527 N Valdosta Rd, Valdosta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245925544
  • Provider Enumeration Date: 04/11/2023
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214392323
  • Enrollment ID: I20230425001083

Medical Identifiers

Medical identifiers for Jordan Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245925544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 11552 (Georgia)Primary
246ZX2200XSpecialist/technologist, Other - Orthopedic Assistant 11552 (Georgia)Secondary

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. Jordan 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 AddressPractice 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

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Physician Assistant Nurses in Valdosta, GA

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: 3018 N Patterson St, Valdosta, GA 31602
Phone: 229-433-7200    Fax: 229-249-4031

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