Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great State 2019 Inc

Q: What is the NPI number for Great State 2019 Inc?

The NPI for Great State 2019 Inc is 1124757588, a Type 2 (organization) record in the CMS NPPES registry.

Dermatology Physician in Tuscaloosa, AL · enumerated 2022 · authorized official Daniel Sparkman, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124757588

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Registry record

Entity type Organization (Type 2)

Legal business name Great State 2019 Inc

Practice address 4960 Rice Mine Rd Ne Ste 30a, Tuscaloosa, AL, 35406

Phone (205) 509-9055

Enumeration date Jun 9, 2022

Last updated in NPPES Jun 9, 2022

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Daniel Sparkman

Title Executive Director

Phone (205) 509-9055

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Great State 2019 Inc?

The NPI for Great State 2019 Inc is 1124757588, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Great State 2019 Inc?

NPPES lists Daniel Sparkman (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-09.