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JORDAN SPARKS PA-C
NPI 1245925544
Physician Assistant - Medical in Moultrie, GA

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment
3007 2ND ST SE, MOULTRIE, GA 31768(229) 891-3325(229) 890-8702 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Apr 11, 2023 (2 updates tracked since 2023).

About Jordan Sparks Pa-c NPPES

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

JORDAN SPARKS PA-C (NPI 1245925544) is an individual medical provider in Moultrie, Georgia, licensed in Georgia (11552) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245925544
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJORDAN SPARKSCredential: PA-C
Location Address3007 2ND ST SEMoultrie, GA 31768-6798
Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 891-3325 · Fax (229) 890-8702
Phone(229) 891-3325
Fax(229) 890-8702
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 11, 2023
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1245925544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 11552
Also ListedSpecialist/Technologist, Other · Orthopedic AssistantTaxonomy 246ZX2200X · License 11552 (GA)
3007 2ND ST SE, Moultrie, GA 31768
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Sparks Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214392323
PECOS Enrollment IDI20230425001083
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services22 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
18 services14 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
13 services12 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

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.

MARIANNE LAGUERRE M.D.
Internal Medicine
3007 2ND ST SE
MOULTRIE, GA 31768
Colquitt County (516) 668-3180
COLQUITT REGIONAL EAR NOSE & THROAT
Otolaryngology
3007 2ND ST SE
MOULTRIE, GA 31768
Colquitt County (229) 891-3325
SCOTT FITZGERALD DALY MD
Otolaryngology
3007 2ND ST SE
MOULTRIE, GA 31768
Colquitt County (229) 891-3325

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 Jordan Sparks's NPI number?

The NPI number for Jordan Sparks is 1245925544. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Jordan Sparks located?

Jordan Sparks practices at 3007 2nd St SE, Moultrie, GA 31768. The listed phone number is (229) 891-3325.

What is Jordan Sparks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jordan Sparks enrolled in Medicare?

Yes. Jordan Sparks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Sparks accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jordan 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.

Is Jordan Sparks affiliated with any hospitals?

According to CMS data, Jordan Sparks is affiliated with Tift Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jordan Sparks was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.