Taylor Lee Sparks, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010508 Issued in GA

Practice address

116 Savannah Ave
Statesboro, GA 30458-4801

Phone

(607) 382-7345

NPI assigned

Mar 16, 2017

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Wellness Medical LLCGroup PAC ID 8729481262, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• True Wellness Medical LLC.

  • Multi-Specialty Clinic/Center
  • Chattanooga, TN
  • NPI 1417470501
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1295276764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ANDOVER DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584359",
            "telephone_number": "607-382-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SAVANNAH AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584801",
            "telephone_number": "607-382-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "TAYLOR",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010508",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Weight Loss Clinic, LLC
• Southern Wellness & Rehab
• Bryan K. Sowell, PT
• Rebecca Marie Spahos, MD
• Nicholas Sparacio, ATC
• Leon Edward Spencer, EDD
• Stephanie Lupita Spencer, LCSW
• Deborah Kay Stalcup, LMT
• Statesboro Ambul Surg Ctr Inc
• Statesboro Ambulatory Surgery Center Inc

• Chiropractor in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.