| Dr Kendrick Ladel Sparks, MD | |
|
215 Marion Ave, Mccomb, MS 39648-2705 | |
| (601) 249-5500 | |
| (601) 249-1714 |
| Full Name | Dr Kendrick Ladel Sparks |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 14 Years |
| Location | 215 Marion Ave, Mccomb, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568584019 | NPI | - | NPPES |
| 02589533 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 24476 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| Walthall County General Hospital Cah | Tylertown, MS | Hospital |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rh Mississippi Hospitalist Medicine Llc | 0547791873 | 64 |
| Southwest Mississippi Regional Medical Center | 5193633907 | 83 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Southwest Mississippi Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982174488 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000004 |
| Entity Name | Mississippi Hma Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20120112000182 |
| Entity Name | Rh Mississippi Hospitalist Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891541207 PECOS PAC ID: 0547791873 Enrollment ID: O20240927000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kendrick Ladel Sparks, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 649-2863 | Dr Kendrick Ladel Sparks, MD 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 |
Dr. Habib Elghoul, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 212 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1570 Fax: 601-249-1544 |