NICOLE A SPARKS M.D.
NPI 1124414602
Obstetrics & Gynecology in Johns Creek, GA

Q: What is Nicole Sparks's NPI number?

The NPI number for Nicole Sparks is 1124414602. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Nicole Sparks's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Sparks was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2015PECOS Enrolled

6300 HOSPITAL PKWY STE 375, JOHNS CREEK, GA 30097(770) 771-5270(770) 771-5279 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nicole A Sparks M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE A SPARKS M.D. (NPI 1124414602) is an individual obstetrics & gynecology provider in Johns Creek, Georgia, licensed in Georgia (82173) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1124414602

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameNICOLE A SPARKSCredential: M.D.

Location Address6300 HOSPITAL PKWY STE 375Johns Creek, GA 30097-2461

Mailing Address510 Victoria Pl Apt B2Thomasville, GA 31792-6657 · (321) 537-5306

Phone(770) 771-5270

Fax(770) 771-5279

Sole ProprietorNo

Enumeration DateApril 10, 2015

Last NPPES UpdateApril 4, 2019

✔ NPI 1124414602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 82173

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6300 HOSPITAL PKWY STE 375, Johns Creek, GA 30097

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Secondary Practice Location 1

Location 14700 Waters Ave, Memorial University Medical Center Ob/Gyn ResidencySavannah, GA 31404-6220 · Phone (912) 350-3595

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole A Sparks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Sparks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC

8.4 mi

Family Medicine

11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1922405729 (678) 325-6611

United Obstetrics And Gynecology, P.C.

183 mi

Obstetrics & Gynecology

1948 OLD OCILLA RD
Tifton, GA 31794

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: United Obstetrics And Gynecology PC
13 clinicians in this Medicare group

NPI 1205847639 (229) 391-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEHULKUMAR JOSHI D.O

Surgery (Vascular Surgery)

6300 HOSPITAL PKWY STE 375
JOHNS CREEK, GA 30097

Gwinnett County (770) 771-5260

JAMES REN D.O

Surgery (Vascular Surgery)

6300 HOSPITAL PKWY STE 375
JOHNS CREEK, GA 30097

Gwinnett County (770) 771-5260

THOMAS C MATTHEWS MD

Surgery

6300 HOSPITAL PKWY STE 375, NORTH ATLANTA VASCULAR CLINIC
JOHNS CREEK, GA 30097

Gwinnett County (770) 771-5260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Sparks's NPI number?

The NPI number for Nicole Sparks is 1124414602. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Nicole Sparks located?

Nicole Sparks practices at 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097. The listed phone number is (770) 771-5270.

What is Nicole Sparks's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Sparks enrolled in Medicare?

Yes. Nicole Sparks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sparks reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Roswell, GA) and United Obstetrics And Gynecology, P.C. (Tifton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Sparks accept?

Health plans from Alliant Health Plans, Inc. list Nicole Sparks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Sparks was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.