| Chelsey Johnson Sparks, APRN-BC | |
|
187 W Main St, Decaturville, TN 38329-8078 | |
| (731) 852-2761 | |
| (731) 852-2781 |
| Full Name | Chelsey Johnson Sparks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 187 W Main St, Decaturville, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295008795 | NPI | - | NPPES |
| 1528159 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 16496 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennessee Quality Care - Home Health | Parsons, TN | Home health agency |
| Volunteer Homecare Of West Tn | Parsons, TN | Home health agency |
| Henderson County Community Hospital | Lexington, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chelsey Sparks Dba Decaturville Family Practice | 3971872284 | 4 |
| Entity Name | Chelsey Sparks Dba Decaturville Family Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730610452 PECOS PAC ID: 3971872284 Enrollment ID: O20170629002334 |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsey Johnson Sparks, APRN-BC 115 E Brooklyn St, P O Box 916, Linden, TN 37096-3515 Ph: (931) 589-2104 | Chelsey Johnson Sparks, APRN-BC 187 W Main St, Decaturville, TN 38329-8078 Ph: (731) 852-2761 |
Stacey Hicks Bennett, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Middleburg Rd, Decaturville, TN 38329 Phone: 731-968-8862 | |
Elaine Kirk, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 259 W Main St, Decaturville, TN 38329 Phone: 731-852-3112 Fax: 731-852-3222 |