Jordan Sparks, PA-C - Medicare Physician Assistant in Moultrie, GA

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Jordan Sparks, PA-C is a medicare enrolled "Physician Assistant - Medical" in Moultrie, Georgia. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ear, Nose, And Throat Clinic Of Coffee Co., Colquitt Regional Ear Nose And Throat and his current practice location is 3007 2nd St Se, Moultrie, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 891-3325.

Jordan Sparks is licensed to practice in Georgia (license number 11552) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245925544.

Contact Information

Jordan Sparks, PA-C
3007 2nd St Se,
Moultrie, GA 31768-6798
(229) 891-3325
(229) 890-8702

Map and Direction




Provider's Profile

Full NameJordan Sparks
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location3007 2nd St Se, Moultrie, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Sparks graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1245925544
  • Provider Enumeration Date: 04/11/2023
  • Last Update Date: 03/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7214392323
  • Enrollment ID: I20230425001083

Medical Identifiers

Medical identifiers for Jordan Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245925544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 11552 (Georgia)Primary
246ZX2200XSpecialist/technologist, Other - Orthopedic Assistant 11552 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tift Regional Medical CenterTifton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ear, Nose, And Throat Clinic Of Coffee Co.448669857811
Colquitt Regional Ear Nose And Throat22647419412

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. Jordan Sparks allows following entities to bill medicare on his behalf.
Entity NameValdosta Orthopedic Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053457457
PECOS PAC ID: 8325938491
Enrollment ID: O20040319001326
Entity NameEar, Nose, and Throat Clinic of Coffee Co.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891750774
PECOS PAC ID: 4486698578
Enrollment ID: O20050620000687
Entity NameColquitt Regional Ear Nose & Throat
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477939833
PECOS PAC ID: 2264741941
Enrollment ID: O20151020001372

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. Jordan 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
Jordan Sparks, PA-C
Po Box 2876,
Moultrie, GA 31776-2876

Ph: (229) 891-3325		Jordan Sparks, PA-C
3007 2nd St Se,
Moultrie, GA 31768-6798

Ph: (229) 891-3325

Reviews and Comments


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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.