Dr Preston Jeremy Sparks, DO - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Augusta, GA

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Dr Preston Jeremy Sparks, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Augusta, Georgia. His current practice location is 1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-8623.

Dr Preston Jeremy Sparks is licensed to practice in Georgia (license number GA69904) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609187889.

Contact Information

Dr Preston Jeremy Sparks, DO
1120 15th St,
Augusta, GA 30912-5867
(706) 721-8623
Not Available

Map and Direction




Physician's Profile

Full NameDr Preston Jeremy Sparks
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609187889
  • Provider Enumeration Date: 06/23/2010
  • Last Update Date: 07/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8628378304
  • Enrollment ID: I20220906000328

Medical Identifiers

Medical identifiers for Dr Preston Jeremy Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609187889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 66904 (Georgia)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) GA69904 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Preston Jeremy Sparks allows following entities to bill medicare on his behalf.
Entity NameAu Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188
Entity NameNorthside Surgical Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Preston Jeremy Sparks is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Preston Jeremy Sparks, DO
300 Hospital Road,
Fort Gordon, GA 30905

Ph: () -		Dr Preston Jeremy Sparks, DO
1120 15th St,
Augusta, GA 30912-5867

Ph: (706) 721-8623

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Augusta, GA

Richard Lee, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-8623    
Zachary Paul Baker, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1348 Walton Way Ste 5700, Augusta, GA 30901
Phone: 706-722-8242    
John Salvatore Anastasi, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1348 Walton Way Ste 5700, Augusta, GA 30901
Phone: 706-722-8242    Fax: 706-722-8351
Dr. Holland Victor Moore, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 747 Aumond Rd, Augusta, GA 30909
Phone: 706-738-4222    
Michael A Watts, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1348 Walton Way, Suite 5700, Augusta, GA 30901
Phone: 706-722-8242    Fax: 706-722-8351
Timothy J Hunter, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 820 Saint Sebastian Way, Suite 6 - B, Augusta, GA 30901
Phone: 706-722-8242    Fax: 706-722-8351
Dr. William Clifford Kitchens, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1348 Walton Way Ste 5700, Augusta, GA 30901
Phone: 706-722-8242    Fax: 706-722-8351

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.