Individual provider Active NPI

Chelsea M Sparkman, PA-C

  • Physician Assistant
  • Mount Juliet, TN
National Provider Identifier
1548667199
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2619 Issued in TN
Practice address
5003 Crossing Cir
Ste 200
Mount Juliet, TN 37122-8568
Phone
(615) 872-9966
Fax
(615) 564-9300
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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 2619 TN Primary

Addresses

Primary practice location

5003 Crossing Cir
Ste 200
Mount Juliet, TN 37122-8568

Mailing address

5003 Crossings Cir Ste 200
Mount Juliet, TN 37122-8568
Phone (615) 872-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151112001665 TN Practitioner - Physician Assistant 7315257862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5003 Crossings Cir
Suite 200
Mt Juliet, TN 37122-8568
Phone (615) 872-9966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2619TNMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Aug 12, 2019 Accepting new patients
Center for Spine Joint and Neuromuscular Rehab PC CurrentSince Apr 18, 2017 Accepting new patients
Center for Spine, Joint & Neuromuscular Rehabilitation CurrentSince Apr 18, 2017 Accepting new patients

Locations

114 Saundersville Rd
Hendersonville, TN 37075
Phone (629) 888-5175

5651 Frist Blvd
Ste 712
Hermitage, TN 37076
Phone (615) 491-6216

5003 Crossings Cir
Ste 200
Mt Juliet, TN 37122

5003 Crossings Cir
Mt Juliet, TN 37122

520 Highland Ter
Ste D
Murfreesboro, TN 37130
Phone (615) 802-5900

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHJBDD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1548667199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 CROSSINGS CIR STE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228568",
            "telephone_number": "615-872-9966",
            "fax_number": "615-564-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 CROSSING CIR",
            "address_2": "STE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228568",
            "telephone_number": "615-872-9966",
            "fax_number": "615-564-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "CHELSEA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.