Jordan Sparks, PA-C
Jordan Sparks, PA-C is a Physician Assistant in Moultrie, Georgia. Qualified in 2022, 4 years ago. Practices with Ear, Nose, and Throat Clinic of Coffee Co, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 4
- Licensed in
- GA
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3007 2nd St SEMoultrie, GA 31768-6798
Phone: (229) 891-3325
Fax: (229) 890-8702
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 11552 (GA) |
|---|---|
| Orthopedic Assistant | Taxonomy 246ZX2200X · Licence 11552 (GA) |
Record details
| NPI number | 1245925544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | April 11, 2023 |
| Last updated in NPPES | March 5, 2026 |
| Certification date | March 5, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Ear, Nose, And Throat Clinic Of Coffee Co. — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |