Heather J Spivey, FNP-C
Individual provider Active NPI Family Nurse Practitioner · MC Rae, GA
NPI 1033828629 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1033828629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN182960 (GA)
- Practice address
- 280 E Willow Creek LN
MC Rae, GA 31055-5128 - Phone
- (229) 868-0017
- Fax
- (478) 864-1288
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230324000690 | GA | Practitioner - Nurse Practitioner | 7113391624 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN182960 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Systems, Inc | Current |
Accepting new patients | |
| Community Health Care Systems, Inc. | Current | Accepting new patients | |
| Community Health Care Systems, Inc | Current |
Accepting new patients |
Locations
280 E Willow Creek Ln
Mc Rae Helena, GA 31055
Phone (229) 868-0017
2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN182960 | GA | Yes |
Addresses
Primary practice location
280 E Willow Creek LN
MC Rae, GA 31055-5128
Mailing address
PO Box 371
Wrightsville, GA 31096-0371
Phone (478) 864-3448
Other providers in MC Rae, GA
- Brena Johnson Siddall
- Brian Douglas Siddall
- Katherine Danelle Smith
- Smith'S Pharmacy of McRae, L.L.C.
- Waylon Spires
- Tiffany Waters Spurlin
- Telfair County EMS
- Telfair County Health Department
- Telfair County Schools
- Telfair Family Chiropractic Center
All providers in MC Rae, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.