| Rex Sparks, NP | |
|
223 Madison St Ste 103, Madison, TN 37115-3660 | |
| (615) 860-0808 | |
| (615) 860-0809 |
| Full Name | Rex Sparks |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 223 Madison St Ste 103, Madison, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285674333 | NPI | - | NPPES |
| 4083351 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7354 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | 109043 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Rex Sparks, NP Po Box 634909, Cincinnati, OH 45263-4909 Ph: () - | Rex Sparks, NP 223 Madison St Ste 103, Madison, TN 37115-3660 Ph: (615) 860-0808 |
Allison Renee Jenney, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Gallatin Pike S, Madison, TN 37115 Phone: 615-868-2150 | |
Ms. Stephanie W Vaughn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Gallatin Rd N, Madison, TN 37115 Phone: 615-865-8500 Fax: 615-860-8061 | |
Ms. Katherine Reeves Sheridan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Gallatin Pike S, Madison, TN 37115 Phone: 615-460-4300 | |
Emily Reeve, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Hospital Dr Ste 260, Madison, TN 37115 Phone: 615-859-9902 | |
Beverly Davidson, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1037 E Old Hickory Blvd, Madison, TN 37115 Phone: 615-865-3994 Fax: 615-865-8176 | |
Ashley Amber Ward, MSN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Diane Dr, Madison, TN 37115 Phone: 830-591-6327 | |
Heather Greer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Hospital Dr Ste 260, Madison, TN 37115 Phone: 615-769-5000 |