MR. KELLY L. SPARKS (PA) – Surgical Physician Assistant, NPI 1649245309

MR. KELLY L. SPARKS (PA) is a healthcare provider. based in Danville, Virginia. specializing in Surgical Physician Assistant. They hold the professional credentials PA. They hold a License No. 0110007007 (VA). The NPI Number for MR. KELLY L. SPARKS (PA) is 1649245309

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. KELLY L. SPARKS (PA)
NPI
1649245309
Phone
(434) 793-4711
Address
109 BRIDGE ST STE 300
Enumeration Date
17 February 2006
Last Update Date
6 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4347934711
Graduation Year
2001 (25 years ago)
PAC ID
1759312861
Group Practice PAC ID
5193624617
Professional Enrollment ID
I20200224000443

Contacts

Main Contact
www.spectrummed.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

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Provider Addresses for MR. KELLY L. SPARKS (PA)

  • 300, Bridge Street, Danville, Danville City, Virginia, 24541, United States

    DANVILLE, VA 245411222

    Phone: (434) 793-4711

    Fax: (434) 797-2514

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 24541)

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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: 5193624617View full group profile
NameSpecialtyState
Interventional Pain Management, Anesthesiology, Pain ManagementVA
-VA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
R H E U M A T O L O G YVA
-VA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Orthopedic SurgeryVA

Reviews

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Frequently asked questions

Does MR. KELLY L. SPARKS (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. KELLY L. SPARKS (PA) uses 1649245309.
Does CMS list MR. KELLY L. SPARKS (PA) as active?
Yes — MR. KELLY L. SPARKS (PA) is active in the NPI listing used on this page.
What healthcare role does MR. KELLY L. SPARKS (PA) hold?
Scheduling teams often label MR. KELLY L. SPARKS (PA) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MR. KELLY L. SPARKS (PA) on a map?
Expect Danville, Virginia as a primary anchor for MR. KELLY L. SPARKS (PA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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