Individual provider Active NPI

Andrew Sparkman, D.O.

  • Internal Medicine Physician
  • Pikeville, KY
National Provider Identifier
1518196187
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03481 Issued in KY
Practice address
911 Bypass Rd
Pikeville, KY 41501-1689
Phone
(606) 218-3500
Fax
(606) 218-4697
NPI assigned
Jul 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2483 TN
Internal Medicine Physician 207R00000X 03481 KY Primary

Addresses

Primary practice location

911 Bypass Rd
Pikeville, KY 41501-1689

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 218-4762

Other practice location 1

2000 Brookside Dr Fl 3
Kingsport, TN 37660-4627
Phone (423) 857-5905

Other identifiers 5

IdentifierTypeStateIssuer
P01414319OtherTNRAILROAD MEDICARE
1518196187MedicaidVA
7100225020MedicaidKY
Q002513MedicaidTN
1518196187MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asparkman136086@balladhealth.medalliesdirect.net Direct Norton Community Physician Services LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130823000670 TN Practitioner - Internal Medicine 9436307782 Reassigns benefits to 1 organization
I20220426002271 VA Practitioner - Internal Medicine 9436307782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

96 15TH St NW
Suite 111
Norton, VA 24273-1102
Phone (276) 439-1871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2483TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Community Physician Services LLC Internal Medicine Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2013 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Health System Current Accepting new patients
Norton Community Physician Services LLC Internal Medicine CurrentSince Apr 3, 2022 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2013 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 31, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 31, 2020 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine Current Accepting new patients
Norton Community Physicians Services LLC CurrentSince Apr 3, 2022 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2000 Brookside Dr
Fl Third
Kingsport, TN 37660
Phone (423) 857-5905

1916 Brookside Dr
Kingsport, TN 37660
Phone (423) 392-6000

2000 Brookside Dr
Fl 3
Kingsport, TN 37660
Phone (423) 857-5905

96 15th St NW
Ste 104
Norton, VA 24273
Phone (540) 679-5048

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

96 15th St NW
Ste 111
Norton, VA 24273
Phone (276) 439-1872

98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600

Interoperability endpoints

  • Direct secure messaging: asparkman136086@balladhealth.medalliesdirect.net

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1518196187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-218-4762",
            "fax_number": "606-218-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-218-3500",
            "fax_number": "606-218-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Brookside Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-5905",
            "fax_number": "423-857-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-04",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2483",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "03481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01414319",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518196187",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100225020",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002513",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518196187",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asparkman136086@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Norton Community Physician Services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "96 15th St NW",
            "address_2": "Suite 104",
            "city": "Norton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.