Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caitlin Sparks

Individual provider Physician Assistant · NPI 1942955257

Caitlin Sparks is a Physician Assistant in Montgomery, Alabama. Qualified in 2022, 4 years ago. Practices with Renal Associates of Montgomery, PC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

4760 Woodmere Blvd
Montgomery, AL 36106-3065
Phone: (334) 288-0814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1942955257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address105 Lismore Dr, Lagrange, GA 30240-9580

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Renal Associates Of Montgomery, P.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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