Tabetha Ann Sparks, APN - Medicare Nurse Practitioner in Jefferson City, TN

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Tabetha Ann Sparks, APN is a medicare enrolled "Nurse Practitioner - Family" in Jefferson City, Tennessee. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Pllc, Southeastern Physician Services Pc and her current practice location is 380 W Broadway Blvd Ste 130, Jefferson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 475-4742.

Tabetha Ann Sparks is licensed to practice in Tennessee (license number 17839) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619302858.

Contact Information

Tabetha Ann Sparks, APN
380 W Broadway Blvd Ste 130,
Jefferson City, TN 37760-2602
(865) 475-4742
(833) 908-2080

Map and Direction




Provider's Profile

Full NameTabetha Ann Sparks
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location380 W Broadway Blvd Ste 130, Jefferson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tabetha Ann Sparks graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1619302858
  • Provider Enumeration Date: 09/06/2013
  • Last Update Date: 06/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5597074468
  • Enrollment ID: I20151014003428

Medical Identifiers

Medical identifiers for Tabetha Ann Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619302858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 17839 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Healthcare North Knoxville Medical CenterPowell, TNHospital
Tennova Healthcare Jefferson Memorial HospitalJefferson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Pllc2860396330636
Southeastern Physician Services Pc0042307852591

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. Tabetha Ann Sparks allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NameSoutheastern Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameApp of Tennessee Ed PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameApp of Tennessee HM, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088
Entity NameHospital Medicine Services of Tennessee PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528433802
PECOS PAC ID: 9234432881
Enrollment ID: O20160114002673
Entity NameKnoxville Center for Behavioral Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710640776
PECOS PAC ID: 0244624195
Enrollment ID: O20230608000113

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. Tabetha Ann 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
Tabetha Ann Sparks, APN
1275 Dick Lonas Rd Unit 101,
Knoxville, TN 37909-1383

Ph: (865) 584-4747		Tabetha Ann Sparks, APN
380 W Broadway Blvd Ste 130,
Jefferson City, TN 37760-2602

Ph: (865) 475-4742

Reviews and Comments


Nurse Practitioner Nurses in Jefferson City, TN

Mrs. Sally Ruth Hensley, APRN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-471-5110    Fax: 865-471-5105
Barbara Jean Smith, MSN, RN, FNP-BC,CDE
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1004 N Highway 92, Suite C, Jefferson City, TN 37760
Phone: 865-475-6100    Fax: 865-475-6106
Lisa Carol Bryant, MSN,FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760
Phone: 865-475-9062    
Kiara Regina Hackler, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760
Phone: 865-475-9062    Fax: 865-475-9063
Mr. Neil Edward Pressley, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-475-9969    Fax: 865-475-9901
Kaitlyn Gouge Mccarter,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1646 Russell Ave, Jefferson City, TN 37760
Phone: 865-471-2000    
Dr. Betty Jo Ellington, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1413 Russell Ave, Jefferson City, TN 37760
Phone: 865-471-5525    

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.