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Active NPI 1306436845 Individual Practitioner Male Practitioner

Logan Sparks , PA

Physician Assistant • Dearborn, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Logan Sparks, PA is a certified Physician Assistant practicing in Dearborn, MI. With approximately 6 years of clinical experience since completing medical education in 2020, Logan Sparks delivers high-quality medical care to the local community at 3815 PELHAM ST STE 13.

Logan Sparks maintains professional affiliations with Michigan Advanced Psychiatry, P.C., Tri-County Counseling Services Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3815 Pelham St Ste 13

Dearborn, MI 481243852

Telephone 3137224683
Fax 3132419342
Associated Practice Facility / Clinic
🏢 Core Medicine, Pllc Facility NPI 1477207215

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dearborn, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
107 Specialists

Practicing in Dearborn, MI (7057 Statewide)

Telehealth Adoption Rate
15.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sparks (6 Years) 6 Yrs
Dearborn Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
35 13 $135.79 $70.67

Medical Specialties & State Licenses

CMS Verified: 2023-03-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601010419

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Michigan Advanced Psychiatry, P.c.

320 N Main St, Ann Arbor, MI 481041127

Phone: 7344364886

Tri-County Counseling Services Llc

711 W 13 Mile Rd, Madison Heights, MI 480711873

Phone: 2482981000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jason Collins , RN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194653899

Registered Nurse, Psychiatric-Mental Health Nurse Practitioner

NPI 1225636863
Rami Harb , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376361170

Nurse Practitioner

Rana Rkein

Physician Assistant

NPI 1386973733
Fatme Bazzi

Psychologist

NPI 1417678418
Dr. Shady Shebak , MD

Psychiatry & Neurology - Psychiatry

NPI 1629416169

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 21, 2023

Registered at 3815 PELHAM ST STE 13, DEARBORN, MI 481243852 (Tel: 3137224683)

📍
Updated Business Mailing Address March 21, 2023

Registered at 3815 PELHAM ST STE 13, DEARBORN, MI 481243852 (Tel: 3137224683)

NPI Profile Active January 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2021

Registered at 14671 TELEGRAPH RD, REDFORD, MI 482393300 (Tel: 7347718504)

📍
Updated Business Mailing Address January 19, 2021

Registered at 14671 TELEGRAPH RD, REDFORD, MI 482393300 (Tel: 7347718504)

👤
Provider Name / Credentials Updated January 19, 2021

Recorded as LOGAN SPARKS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Physician Assistant (License #5601010419 in MI)

🟢
Initial NPI Registration & Enumeration January 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306436845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2021
Last Update: March 21, 2023
Sole Proprietor: No

Mailing Address

3815 Pelham St Ste 13

Dearborn, MI 481243852

Phone: 3137224683

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.