| Dr Preston Jeremy Sparks, DO | |
|
1120 15th St, Augusta, GA 30912-5867 | |
| (706) 721-8623 | |
| Not Available |
| Full Name | Dr Preston Jeremy Sparks |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 15 Years |
| Location | 1120 15th St, Augusta, Georgia |
| 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 |
|---|---|---|---|
| 1609187889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 66904 (Georgia) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | GA69904 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Au Medical Center | Augusta, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 332 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Northside Surgical Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice 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 |
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 |