Active NPI
Erin Victoria Sparks, M.D.
- Neurology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 32924
- Practice address
- 2097 Henry Tecklenburg Dr
Suite 322W
Charleston, SC 29414-5740 - Phone
- (843) 402-5035
- Fax
- (843) 402-5036
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 32924 | SC | Primary |
Addresses
Primary practice location
2097 Henry Tecklenburg Dr
Suite 322W
Charleston, SC 29414-5740
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329246 | Medicaid | SC |
Other names 1
- Dr. Erin Victoria Ilkanich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Erlanger Health
Practice addresses (Care Compare)
979 E 3Rd St
Suite C830
Chattanooga, TN 37403-3325
Phone (423) 778-9001
Hospital & facility affiliations
- Erlanger Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Neurology | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
2097 Henry Tecklenburg Dr
Ste 322W
Charleston, SC 29414
Phone (843) 402-5035
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Organizations & group practices 5
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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Charleston, SC
- NPI 1255756532
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Neurology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423267200000",
"number": "1164733366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR",
"address_2": "SUITE 322W",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145740",
"telephone_number": "843-402-5035",
"fax_number": "843-402-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "ERIN",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2015-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "32924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "329246",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "ILKANICH",
"middle_name": "VICTORIA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.