Individual provider Active NPI

William Tommy Sparks, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1366040503
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11232 Issued in NC
Practice address
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone
(336) 718-5570
Fax
(336) 718-5569
NPI assigned
Oct 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11232 NC Primary

Addresses

Primary practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Mailing address

PO Box 935983
Atlanta, GA 31193-5983
Phone (336) 718-5570

Other practice location 1

1010 Bethesda Ct
Winston Salem, NC 27103-3019
Phone (336) 718-5570

Other practice location 2

1 Medical Center Boulevard
Winston Salem, NC 27157-4419
Phone (336) 806-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210513002391 NC Practitioner - Physician Assistant 5698184109 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Thomasville Medical Center LLCGroup PAC ID 5890605224, 101 clinicians

Practice addresses (Care Compare)

1010 Bethesda CT
Winston Salem, NC 27103-3019
Phone (336) 277-8906

203 Old Lexington Rd
Suite 106
Thomasville, NC 27360-3428
Phone (336) 474-8921

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-8800

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11232NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince May 10, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 26, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jul 26, 2024 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Jul 26, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 26, 2024 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: wsparks1590395@direct.novanthealth.org

Organizations & group practices 10

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": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1366040503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935983",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935983",
            "telephone_number": "336-718-5570",
            "fax_number": "336-718-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-5570",
            "fax_number": "336-718-5569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Bethesda Ct",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033019",
            "country_code": "US",
            "telephone_number": "336-718-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271574419",
            "country_code": "US",
            "telephone_number": "336-806-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "WILLIAM",
        "middle_name": "TOMMY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-10",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.