DR. KENDRICK LADEL SPARKS (NPI# 1568584019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568584019 |
| Entity Type | Individual |
| Full Name | DR. KENDRICK LADEL SPARKS |
| Other Name | DR. KENDRICK LADEL SPARKS |
| Credential | MD |
| Practice Address |
1220 Jefferson St Laurel MS 39440-4355 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6016492863 |
| Mailing Telephone | 6016492863 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 24476 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02589533 | 05 |
| Street Address |
1220 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973542 | South Central Regional Medical Center | General Acute Care Hospital | 1220 Jefferson St, Laurel, MS 39440-4355 | 2005-06-24 |
| 1730799578 | Holly Marie White | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2020-08-06 |
| 1407495492 | David Caldwell | Physician Assistant | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-12-23 |
| 1659918084 | Elizabeth Allen | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-12-04 |
| 1598300626 | Nicole Nielsen | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-11-13 |
| 1437793163 | Marty Jacob Brock | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-11-06 |
| 1881253557 | Sarah M Wooten | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-06-06 |
| 1730742933 | Hanna Rae Mccoy | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2019-04-15 |
| 1801372685 | Anna Seals | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440-4355 | 2018-07-16 |
| 1982195137 | Erica Windham | Nurse Practitioner | 1220 Jefferson St, Laurel, MS 39440 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659898138 | South Central Clinics, Inc | Hospitalist | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1164873071 | Oscar Kwaku Okyere | Hospitalist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2016-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282788 | Select Speciatly Hospital - Gulf Coast, Inc. | Hospitalist | 1520 Broad Avenue, Guflport, MS 39500 | 2016-09-01 |
| 1235329038 | River Oaks Management Company, LLC | Hospitalist | 1850 Chadwick Drive, Jackson, MS 39204-3404 | 2007-07-27 |
| 1568652352 | Crossgates Hma Medical Group, LLC | Hospitalist | 350 Crossgates Boulevard, Brandon, MS 39042-2601 | 2007-07-27 |
| 1407946122 | River Oaks Management Co. Inc. | Hospitalist | 2500 Flowood Drive, Suite 402, Flowood, MS 39232-1196 | 2006-10-13 |
| 1386684199 | Natchez Hma Physician Management LLC | Hospitalist | 150 Jefferson Davis Blvd, Suite 140, Natchez, MS 39120-5107 | 2006-06-08 |
| 1821638578 | Relias Hospitalist Medicine Specialists of West Point LLC | Hospitalist | 150 Medical Center Dr, West Point, MS 39773-0428 | 2020-01-10 |
| 1205470796 | Relias Hospitalist Medicine Specialists of Amory LLC | Hospitalist | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2019-10-29 |
| 1669028130 | Leake Emergency Group, LLC | Hospitalist | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2019-08-12 |
| 1205499639 | Dobbs Emergency Group, LLC | Hospitalist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2019-04-22 |
| 1528560281 | Venture Hospitalist, LLC | Hospitalist | 301 8th Ave Sw, Magee, MS 39111-3967 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.