DR. BRETT R SPROUSE (DO, MBA) – Sports Medicine (Family Medicine) Physician, NPI 1558711986

DR. BRETT R SPROUSE (DO, MBA) is a healthcare provider. based in Rome, Georgia. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials DO, MBA. They hold a License No. DO.2012 (AL). The NPI Number for DR. BRETT R SPROUSE (DO, MBA) is 1558711986

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRETT R SPROUSE (DO, MBA)
NPI
1558711986
Phone
(706) 509-3300
Address
304 SHORTER AVE NW STE 201
Enumeration Date
16 June 2016
Last Update Date
27 April 2022

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
3348878707
Graduation Year
2016 (10 years ago)
PAC ID
1850670159
Group Practice PAC ID
1557452752
Professional Enrollment ID
I20201005000039
Address ID
AL368306482AU2353XRDXX401

Contacts

Secure Messaging
brettsprouse@apaam.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

3,102 FAMILY PRACTICE in GA

Provider Addresses for DR. BRETT R SPROUSE (DO, MBA)

  • 304 SHORTER AVE NW STE 201

    ROME, GA 301654256

    Phone: (706) 509-3300

    Type: Location

  • 349 SOUTH DONAHUE DR SUITE 200

    AUBURN, AL 368494256

    Phone: (334) 844-9919

    Type: Location

  • 2353 Bent Creek Rd Ste 110

    Auburn, AL 368306482

    Phone: (334) 887-8707

    Type: Location

  • South Donahue Drive, Woodfield, Auburn, Lee County, Alabama, 36849, United States

    AUBURN, AL 368494256

    Phone: (334) 844-9919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201005000039IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30165)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557452752View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Internal Medicine, Pediatric MedicineAL
Family Practice, Sports MedicineAL
Family PracticeAL
Osteopathic Manipulative MedicineMI
Nurse PractitionerAL
Family PracticeVA
Pediatric Medicine, Internal MedicineAL
Physician AssistantAL

Reviews

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Frequently asked questions

Can I cross-check DR. BRETT R SPROUSE (DO, MBA) using NPI 1558711986?
NPI 1558711986 belongs to DR. BRETT R SPROUSE (DO, MBA); compare other details if you need extra assurance.
Is DR. BRETT R SPROUSE (DO, MBA) still an active registrant?
DR. BRETT R SPROUSE (DO, MBA) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. BRETT R SPROUSE (DO, MBA)?
At a glance, DR. BRETT R SPROUSE (DO, MBA) is tied to Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRETT R SPROUSE (DO, MBA) located near Rome?
DR. BRETT R SPROUSE (DO, MBA) currently maps to Rome, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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