ASCENSION MEDICAL GROUP SAINT THOMAS SPARTA PRIMARY CARE
NPI 1972193191
Clinic/Center - Rural Health in Sparta, TN

Active since January 21, 2021CLIA 44D1044264 · Microscopy
435 SEWELL DR, SPARTA, TN 38583(931) 738-4595 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2024, Jan 21, 2021 (2 updates tracked since 2021).

About Ascension Medical Group Saint Thomas Sparta Primary Care NPPES

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

ASCENSION MEDICAL GROUP SAINT THOMAS SPARTA PRIMARY CARE (NPI 1972193191) is a healthcare organization registered as a rural health in Sparta, Tennessee and active in the NPI registry since January 2021. The organization holds a CLIA Microscopy certificate valid through August 14, 2027 and lists Candace Garrett, Manager Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1972193191
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSAINT THOMAS RIVER PARK HOSPITAL, LLC
Location Address435 SEWELL DRSparta, TN 38583-1223
Mailing Address300 20th Ave N Ste 403Nashville, TN 37203-5180 · (615) 289-3257
Organization SubpartYes
Authorized OfficialCandace GarrettManager Of Business Operations · (615) 290-7184
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1972193191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
435 SEWELL DR, Sparta, TN 38583

Other Names 2

Doing Business AsAscension Medical Group Saint Thomas Sparta Primary Care
Doing Business AsAmg Saint Thomas Sparta Primary Care

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ascension Medical Group Saint Thomas Sparta Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20210317000215Part A · Rural Health ClinicDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D1044264

Saint Thomas River Park Hospital, LLC Dba Ascension Medical Group Saint Thomas Sparta · Sparta, TN
Active · expires Aug 14, 2027
CLIA Number44D1044264
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorSharon D. Hampton
Laboratory Phone(931) 738-4595
Laboratory LocationSaint Thomas River Park Hospital, LLC Dba Ascension Medical Group Saint Thomas Sparta435 Sewell Dr, Sparta, TN 38583
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Internal Medicine
435 SEWELL DR
SPARTA, TN 38583
Family Medicine
435 SEWELL DR
SPARTA, TN 38583
Family Medicine
435 SEWELL DR
SPARTA, TN 38583

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 Saint Thomas River Park Hospital, LLC's NPI number?

The NPI number for Saint Thomas River Park Hospital, LLC is 1972193191. It was assigned to this organization in the NPPES registry on January 21, 2021. The provider is doing business as Ascension Medical Group Saint Thomas Sparta Primary Care and AMG Saint Thomas Sparta Primary Care.

Where is Saint Thomas River Park Hospital, LLC located?

Saint Thomas River Park Hospital, LLC is located at 435 Sewell Dr, Sparta, TN 38583. The listed phone number is (931) 738-4595.

What is Saint Thomas River Park Hospital, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Saint Thomas River Park Hospital, LLC enrolled in Medicare?

Yes. Saint Thomas River Park Hospital, LLC is registered in the Medicare PECOS enrollment system.

When is Saint Thomas River Park Hospital, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Tennessee, Rural Health Clinic) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Saint Thomas River Park Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1044264) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Saint Thomas River Park Hospital, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Saint Thomas River Park Hospital, LLC 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 Saint Thomas River Park Hospital, LLC was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.