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Individual provider Active NPI

Dierick R Sparks, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Rainbow City, AL
National Provider Identifier
1346350261
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
24950 Issued in AL
Practice address
3102 Rainbow Dr
Rainbow City, AL 35906-5804
Phone
(256) 546-8127
Fax
(256) 547-6720
NPI assigned
Aug 30, 2006
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 24950 AL Primary

Addresses

Primary practice location

3102 Rainbow Dr
Rainbow City, AL 35906-5804

Mailing address

3102 Rainbow Dr
Rainbow City, AL 35906-5804
Phone (256) 546-8127

Other practice location 1

1622 Church Ave SE
Jacksonville, AL 36265-3200
Phone (256) 435-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000543 AL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7719081439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopedic CentersGroup PAC ID 2466430004, 19 clinicians

Practice addresses (Care Compare)

3102 Rainbow Dr
Suite 100
Rainbow City, AL 35906-5804
Phone (256) 546-8127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)80
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopedic Centers CurrentSince Apr 1, 2016 Accepting new patients
Sparks Physical Therapy Inc Current Accepting new patients
Jacksonville Medical Professional Services LLC Past Accepting new patients
Jacksonville Surgical & Medical Affiliates, LLC Past Accepting new patients
Alabama Sports Medicine and Ortho Center Past Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients

Locations

310 S 5th St
Gadsden, AL 35901
Phone (205) 547-8634

1622 Church Ave SE
Jacksonville, AL 36265
Phone (256) 365-2792

3102 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 413-7422

3102 Rainbow Dr
Ste 100
Rainbow City, AL 35906
Phone (256) 546-8127

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1346350261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-546-8127",
            "fax_number": "256-666-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-546-8127",
            "fax_number": "256-547-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Church Ave SE",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362653200",
            "country_code": "US",
            "telephone_number": "256-435-6221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "DIERICK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "24950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

Verify at the official NPI Registry.