Individual provider Active NPI

Spencer C Greer

  • Medical Physician Assistant
  • Little Rock, AR
National Provider Identifier
1063253342
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PT2024-095 Issued in AR
Practice address
4301 W Markham St # 619
Little Rock, AR 72205-7101
Phone
(501) 686-5730
NPI assigned
Jun 3, 2024
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PT2024-095 AR Primary

Addresses

Primary practice location

4301 W Markham St # 619
Little Rock, AR 72205-7101

Mailing address

4401 N Locust St
North Little Rock, AR 72116-8147
Phone (501) 470-8450

Other practice location 1

812 Oak St
Conway, AR 72032-4408
Phone (501) 327-7100

Other practice location 2

400 S Main St Ste 100
Searcy, AR 72143-7801
Phone (501) 279-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114002971 AR Practitioner - Physician Assistant 0143754036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
JP Wornock MD PAGroup PAC ID 4587569777, 19 clinicians

Practice addresses (Care Compare)

812 Oak St
Conway, AR 72032-4408
Phone (501) 327-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PT2024-095ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J.P. Wornock M.D. P.a. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1063253342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N LOCUST ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168147",
            "telephone_number": "501-470-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 619",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Oak St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720324408",
            "country_code": "US",
            "telephone_number": "501-327-7100",
            "fax_number": "501-327-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721437801",
            "country_code": "US",
            "telephone_number": "501-279-9000",
            "fax_number": "501-279-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "SPENCER",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PT2024-095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.