Active NPI
Gerald Anthony Sparks Jr., MD
- Family Medicine Physician
- Bay Minette, AL
National Provider Identifier
1770533507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00021976
- Practice address
- 1903 Hand Ave
Bay Minette, AL 36507-4112 - Phone
- (251) 937-7970
- Fax
- (251) 937-9260
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21976 | AL | |
| Family Medicine Physician | 207Q00000X | 00021976 | AL | Primary |
Addresses
Primary practice location
1903 Hand Ave
Bay Minette, AL 36507-4112
Mailing address
1903 Hand Ave
Bay Minette, AL 36507-4112
Phone (251) 937-7970
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-03800 | Other | BCBS | |
| 009996010 | Medicaid | AL | |
| 1770533507 | Other | AL | TRICARE SOUTH |
| 51510991 | Other | AL | BCBS |
| 009936961 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1903 Hand Ave
Bay Minette, AL 36507-4112
2305 Hand Ave
Suite 2
Bay Minette, AL 36507-4198
Phone (251) 937-7970
Hospital & facility affiliations
- Amedisys Home Health of Foley
- North Baldwin Infirmary
- Crowne Healthcare of North Baldwin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21976 | AL | MD | Emergency Medicine Physician |
| 00021976 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Minette Medical Arts Center PC | Family Medicine | Current | Accepting new patients |
| Mobile Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
Locations
1903 Hand Ave
Bay Minette, AL 36507
Phone (251) 580-1701
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Bay Minette, AL
- NPI 1528071776
Family Medicine
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1932166287
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Foley, AL
- NPI 1013975572
-
- Skilled Nursing Facility
- Bay Minette, AL
- NPI 1679280796
Nursing home
-
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1770533507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 HAND AVE",
"city": "BAY MINETTE",
"state": "AL",
"postal_code": "365074112",
"telephone_number": "251-937-7970",
"fax_number": "251-937-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 HAND AVE",
"city": "BAY MINETTE",
"state": "AL",
"postal_code": "365074112",
"telephone_number": "251-937-7970",
"fax_number": "251-937-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "GERALD",
"middle_name": "ANTHONY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "21976",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00021976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-03800",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009996010",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH",
"identifier": "1770533507",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51510991",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009936961",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Minette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.