Sandra Michelle Sparks (NPI# 1013419225, PAC ID# 1153663638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013419225 |
| PAC ID by PECOS | 1153663638 |
| Professional Enrollment ID | I20190502001780 |
| Full Name | Sandra Michelle Sparks |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
310 N State of Franklin Rd Suite 400 Johnson City TN 37604-6529 |
| Phone Number | 4239796000 |
| Gender | F |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440018 | SYCAMORE SHOALS HOSPITAL |
| 440184 | FRANKLIN WOODS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1497 W Elk Ave, Suite 22a, Elizabethton, TN 37643-2896 | 4235473380 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 | 4239796000 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Street Address |
310 N STATE OF FRANKLIN RD SUITE 400 |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-6529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian K Turner | Certified Registered Nurse Anesthetist (crna) | Tennessee Valley Anesthesia Associates LLC | 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 |
| Lori Christian | Certified Registered Nurse Anesthetist (crna) | Tennessee Valley Anesthesia Associates LLC | 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 |
| Jennifer Nowak | Nurse Practitioner | Legacy Vein Center Pllc | 310 N State of Franklin Rd, Suite 103, Johnson City, TN 37604-6063 |
| John P Geaslin | Certified Registered Nurse Anesthetist (crna) | Tennessee Valley Anesthesia Associates LLC | 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 |
| Tido Latour | Certified Registered Nurse Anesthetist (crna) | Tennessee Valley Anesthesia Associates LLC | 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 |
| Abigail L Conley | Certified Registered Nurse Anesthetist (crna) | Tennessee Valley Anesthesia Associates LLC | 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 |
| Spencer Maden | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Diana Riffe | Certified Registered Nurse Anesthetist (crna) | Tennessee Valley Anesthesia Associates LLC | 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 |
| Luke S Erdoes | Vascular Surgery | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 101b, Johnson City, TN 37604-6063 |
| Raymond D Merrick | Cardiovascular Disease (cardiology) | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JOHNSON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra Michelle Sparks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.