Individual provider Active NPI

Tamala S. Sparks, CRNP

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1265626691
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-070362 Issued in AL
Practice address
1020 Tuscaloosa Ave
Gadsden, AL 35901-3005
Phone
(256) 546-4606
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-070362 AL Primary

Addresses

Primary practice location

1020 Tuscaloosa Ave
Gadsden, AL 35901-3005

Mailing address

3643 Lakefront Dr
Southside, AL 35907-0540
Phone (256) 613-1101

Other identifiers 2

IdentifierTypeStateIssuer
165014 (ANNISTON)MedicaidAL
165246MedicaidAL

Other names 1

  • Tami Shipman Sparks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20080219000652 AL Practitioner - Nurse Practitioner 3375627078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Urology Associates, P.C.Group PAC ID 0749254241, 12 clinicians

Practice addresses (Care Compare)

713 Goodyear Ave
Gadsden, AL 35903-1156
Phone (256) 492-4040

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-070362ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc CurrentSince Aug 29, 2014 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Clinical Urology Associates, P.C. CurrentSince Feb 1, 2015 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Aug 29, 2014 Accepting new patients
Quality of Life Health Services, Inc. Current Accepting new patients
Clinical Urology Associates, P.C. CurrentSince Feb 1, 2015 Accepting new patients
Cilinical Urology Associates, P.C. Past Accepting new patients

Locations

9524 US Highway 431
Albertville, AL 35950

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

2001 Cades Ave SW
Fort Payne, AL 35968
Phone (256) 492-7404

420 N 6th St
Gadsden, AL 35901
Phone (256) 546-9907

1216 Wilbanks Ave
Gadsden, AL 35903
Phone (256) 439-6384

1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606

1409 Springfield Ave
Gadsden, AL 35903
Phone (256) 439-6383

713 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-4017

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

1475 1st Ave SW
Jacksonville, AL 36265
Phone (256) 435-9386

Interoperability endpoints

  • Direct secure messaging: tamalasparks@cua.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1265626691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 LAKEFRONT DR",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070540",
            "telephone_number": "256-613-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TUSCALOOSA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013005",
            "telephone_number": "256-546-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "TAMALA",
        "middle_name": "S.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-070362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165014 (ANNISTON)",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165246",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMI",
            "last_name": "SPARKS",
            "middle_name": "SHIPMAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.