Individual provider · Type 1 NPI
Jordan Sparks, PA-C
Medical Physician Assistant · Moultrie, GA
NPI number
1245925544
Active
Practice location
3007 2nd St SE
Moultrie, GA 31768-6798
Fax (229) 890-8702
Mailing address
PO Box 2876
Moultrie, GA 31776-2876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 11552 (GA) |
| Medical Physician Assistant Primary | 363AM0700X | 11552 (GA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Moultrie
About NPI 1245925544
Jordan Sparks, PA-C's National Provider Identifier is 1245925544, issued on Apr 11, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Moultrie, GA. The record was last updated on Mar 5, 2026.