MR. SHANNON SHUMATE SPARKS (NPI# 1730426024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730426024 |
| Entity Type | Individual |
| Full Name | MR. SHANNON SHUMATE SPARKS |
| Credential | PA-C |
| Practice Address |
2000 Neuse Blvd New Bern NC 28560-3449 |
| Mailing Address |
5901 Peachtree Dunwoody Rd Ne Ste C350 Atlanta GA 30328-7159 |
| Practice Telephone | 2526346504 |
| Mailing Telephone | 6784418539 |
| Mailing Fax Number | 6784418639 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-03963 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164883286 | Shannon Sparks | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2016-03-16 |
| Street Address |
2000 NEUSE BLVD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28560-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955097 | Crystal Coast Radiation Oncology | Radiology | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2005-07-08 |
| 1114524519 | Carolina East Physicians | Pathology | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2020-10-08 |
| 1235744467 | Amanda Richey Lamar | Nurse Practitioner | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2020-09-14 |
| 1073153706 | David N Chowns Jr. | Perfusionist | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2020-01-10 |
| 1326685504 | Brandon Andrew Derby | Nurse Anesthetist, Certified Registered | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2019-12-05 |
| 1689210593 | Jeffrey Nathaniel Beltz | Registered Nurse | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2019-11-26 |
| 1962053538 | Robert David Penn Jr. | Physician Assistant | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2019-09-25 |
| 1447808142 | Morgan Lindsay Rowe | Physical Therapist | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2019-08-27 |
| 1497315683 | Kiarra Latrell Hill | Speech-Language Pathologist | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2019-06-19 |
| 1689234429 | Ellen Marie Dees | Radiology | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2019-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898152 | Alec James Fields | Student in an Organized Health Care Education/Training Program | Cb 7121, 2086 Bondurant Hall, Chapel Hill, NC 28560 | 2020-10-09 |
| 1285270413 | Kelsey Miller | Social Worker | 2000 Doctor M.l.k. Jr Blvd, New Bern, NC 28560 | 2019-11-22 |
| 1568942399 | Siddharth Mourya | Physical Therapist | River Point Crest Nursing and Rehabilitation, 2600 Old Cherry Point Road, New Bern, NC 28560 | 2018-08-21 |
| 1194216713 | Genoa Healthcare, LLC | Pharmacy | 1309 Tatum Dr Ste 1, New Bern, NC 28560 | 2018-05-21 |
| 1134634561 | Eastern Carolina Young Men's Christian Association, Inc. | Health Educator | 100 Ymca Lane, New Bern, NC 28560 | 2017-12-07 |
| 1740725134 | Victoria Anne Sarbin | Audiologist | 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 | 2016-12-21 |
| 1194193722 | Kriebel and Associates Pa | Clinic/Center | 3680 Neuse Blvd., New Bern, NC 28560 | 2015-09-14 |
| 1013308105 | Elizabeth Benton | Specialist | 3303 Highway 70 East, New Bern, NC 28560 | 2015-02-10 |
| 1386999068 | Allison Lang Snyder | Pharmacist | 1904 M L King Jr. Blvd., New Bern, NC 28560 | 2012-07-18 |
| 1144542606 | The Zannis Center for Plastic Surgery Pa | Clinic/Center | 2021 Neuse Blvd, New Bern, NC 28560 | 2010-02-24 |
| Find all providers in zip 28560 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1053822031 | Andrea Lauren Buery | Physician Assistant | 218 Bear Trl, New Bern, NC 28562-9337 | 2017-10-18 |
| 1780929737 | Jessica Rae Friedlander | Physician Assistant | 2636 Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2012-12-03 |
| 1043595960 | Samantha R Carlson | Physician Assistant | 2020 Waterscape Way, New Bern, NC 28562-7097 | 2011-10-12 |
| 1437534690 | Kerstin Mosso | Physician Assistant | 2111 Neuse Blvd Ste J, New Bern, NC 28560-4318 | 2015-07-29 |
| 1629287438 | Richard Wayne Brown | Physician Assistant | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2007-05-21 |
| 1467522714 | John T Riggs | Physician Assistant | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-11-08 |
| 1487695367 | Leslie Ipock Van Dyke | Physician Assistant | 730 Newman Rd, New Bern, NC 28562-5238 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 1881224996 | Mary Elizabeth Ellis | Physician Assistant | 1 Hospital Dr # 3400, Asheville, NC 28801-4550 | 2020-01-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.