Tessa Sprague, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

512 S Main St Ste a
Hinesville, GA 31313-4344

Phone

(912) 369-5437

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Central Michigan College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Pines Health Center PCGroup PAC ID 0446161251, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Pines Health Center, PC

  • Rural Health Clinic/Center
  • Buckley, MI
  • NPI 1578547071
  Medicare reassignment Care Compare group NPD
• Gregory G North PHD PC

  • Clinical Psychologist
  • Buckley, MI
  • NPI 1609061464
  NPD
• Eric L. Hall, MD; PC

  • Pediatric Adolescent Medicine Physician
  • Hinesville, GA
  • NPI 1962669572
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Healthcare Cadillac

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1487051611

  Hospital

  Care Compare affiliation
• Munson Healthcare Cadillac

  • General Acute Care Hospital
  • Cadillac, MI
  • NPI 1841696754
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1003484759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S MAIN ST STE A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134344",
            "telephone_number": "912-369-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S MAIN ST STE A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134344",
            "telephone_number": "912-369-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "TESSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tcspragu@mtu.edu",
            "affiliation": "N",
            "address_1": "2264 Jackson St",
            "city": "Hudsonville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494269466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Spectrum of Hope
• Kimberly Ann Speese, RBT, CNA
• Amya Spencer
• Taneeka Spencer
• Teri C Spencer
• Courtney Lasha Spyke
• Brandon Standard, PHARMD
• Amy Stang
• Rogetta Stantley
• Step Easy Medical Supply LLC

• Physician Assistant in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.