NPI age
3 years
Enumerated 2023-04-11
● Active
Type 1 · Individual
Jordan Sparks, PA-C
Sparks is 1 of 5 physician assistant providers in Moultrie and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
3 years
↓ 12 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-04Enumerated in NPPES
2023
2026
Where they practice
Practice location
3007 2nd St Se
Moultrie, GA 317686798
Mailing address
Po Box 2876
Moultrie, GA 317762876
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Specialist/Technologist, OtherAn Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.