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TONY SPARKS NP
NPI 1902033780
Nurse Practitioner in Austell, GA

Active since June 18, 2009PECOS Enrolled
3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-3800 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2021, Apr 18, 2019 (2 updates tracked since 2019).

About Tony Sparks Np NPPES

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

TONY SPARKS NP (NPI 1902033780) is an individual nurse practitioner in Austell, Georgia, licensed in Georgia (RN107315) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vidalia.

NPPES Registry Identity

NPI1902033780
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTONY SPARKSCredential: NP
Location Address3950 AUSTELL RDAustell, GA 30106-1121
Mailing Address5665 New Northside Dr Nw, Suite 320Atlanta, GA 30328-5831 · (770) 874-5400
Phone(770) 732-3800
Sole ProprietorYes
Enumeration DateJune 18, 2009
Last NPPES UpdateMay 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1902033780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN107315
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN107315 (GA)
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License RN107315 (GA)
3950 AUSTELL RD, Austell, GA 30106
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Secondary Practice Location 1

Location 1303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854 · Phone (912) 535-7000 · Fax (912) 535-7020

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tony Sparks Np 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

4

Medicare enrollment records show Tony Sparks reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Bortolazzo Group, LLC
Same address
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
NPI 1801965082 (770) 732-4000
Montgomery Emergency Group, LLC
172 mi
Emergency Medicine
1 MEADOWS PKWY
Vidalia, GA 30474
  • Reassigned Medicare billing, Georgia enrollment
  • 98 clinicians in this Medicare group
NPI 1861773764 (912) 535-5555
Hazlehurst Pediatrics, PC
180 mi
Pediatrics
143 S TALLAHASSEE ST
Hazlehurst, GA 31539
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1992900435 (912) 375-3360
Wayne Emergency Group LLC
221 mi
Emergency Medicine
865 S 1ST ST
Jesup, GA 31545
  • Reassigned Medicare billing, Georgia enrollment
  • 57 clinicians in this Medicare group
NPI 1982828943 (912) 427-6811

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

Areas of Expertise CMS Part B claims

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 20

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

MRS. JOLI ANN WILSON D.O.
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MAGGI STUART MARKWELL
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MUHAMMAD NAJEEB MBBS
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 267-2000
SEGEN MEDICAL GROUP, P.C.
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 939-3301
DR. KATHRYN SHIPP RHYNE MD
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 732-4415
DR. YOUSEF HINDI MD
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4025
MICHELLE PRESLEY
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
DR. MANU MALEPATI M.D.
Hospitalist
3950 AUSTELL RD, BOX 22
AUSTELL, GA 30106
Cobb County (470) 732-4022

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 Tony Sparks's NPI number?

The NPI number for Tony Sparks is 1902033780. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Tony Sparks located?

Tony Sparks practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-3800.

What is Tony Sparks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tony Sparks enrolled in Medicare?

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

Which organizations bill Medicare for Tony Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Sparks reassigns Medicare benefits to 4 organizations: The Bortolazzo Group, LLC (Austell, GA), Montgomery Emergency Group, LLC (Vidalia, GA), Hazlehurst Pediatrics, PC (Hazlehurst, GA) and Wayne Emergency Group LLC (Jesup, 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 Tony Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Sparks accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Tony 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 Tony Sparks was last updated on May 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.