Doctor profile · Federal record
Dr. Nicole Sparks, PA-C
Surgical Physician Assistant · Physician Assistant · Eglin Afb, FL
- NPI 1093203697
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
307 Boatner RD Ste 114
Eglin Afb, FL 325421302
(850) 883-8600
Credentials & registration
- NPI registered
- April 2018 — 8 yrs on file
- Profile last updated
- August 1, 2024
- Specialty taxonomy
- 363AS0400X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093203697. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$44
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bioventus LLC | 1 | $29.72 | |
| Orthofix Medical, INC. | 1 | $14.56 |
By nature of payment
Frequently asked questions
What is Dr. Nicole Sparks's medical specialty?
Dr. Nicole Sparks practices Surgical Physician Assistant in Eglin Afb, FL.
Where does Dr. Nicole Sparks practice?
Dr. Nicole Sparks practices at 307 Boatner RD Ste 114, Eglin Afb, FL 325421302. Office phone: 8508838600.
What is Dr. Nicole Sparks's NPI?
Dr. Nicole Sparks's National Provider Identifier (NPI) is 1093203697, issued by NPPES.