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

Dr. Preston Jeremy Sparks, DO

Individual provider Surgery Physician · NPI 1609187889

Dr. Preston Jeremy Sparks, DO is a Thoracic Surgery in Augusta, Georgia. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2010, 16 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
GA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-5867
Phone: (706) 721-8623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1003 Chafee Ave, Augusta, GA 30904-5867 — (706) 721-8937
  • 900 Gordon Ave, Thomasville, GA 31792-6613 — (229) 226-0125
  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 — (210) 916-2412

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence GA69904 (GA)
Surgery Physician Taxonomy 208600000X · Licence 66904 (GA)

Record details

NPI number1609187889
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Also practisesGENERAL SURGERY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2010 (16 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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