Active NPI
Dustin Spencer, DNP, FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 20187
- Practice address
- 2764 Pleasant Rd Ste a-10701
Fort Mill, SC 29708-7213 - Phone
- (803) 906-0952
- Fax
- (681) 662-2733
- NPI assigned
- Apr 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178379 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2361264 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14262996-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 20187 | SC | |
| Family Nurse Practitioner | 363LF0000X | 4704252348 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024178379 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010312 | DE | |
| Nurse Practitioner | 363L00000X | 5013569 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704252348 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20187 | SC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 116590 | NE |
Addresses
Primary practice location
2764 Pleasant Rd Ste a-10701
Fort Mill, SC 29708-7213
Mailing address
2764 Pleasant Rd Ste a-10701
Fort Mill, SC 29708-7213
Phone (803) 906-0952
Other practice location 1
200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dspencer880802@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-5416
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704252348 | MI | MD | Family Nurse Practitioner |
| 20187 | SC | MD | Family Nurse Practitioner |
| L8-0010312 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2361264 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 116590 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
| 14262996-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024178379 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| App of South Carolina Ed PLLC | Current | Accepting new patients | |
| Thrive Family Services | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Spencer Health and Wellness | Family | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients | |
| Real Connections Counseling and Wellness LLC | Past | Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
508 Bethel St
Clover, SC 29710
Phone (803) 526-5227
2764 Pleasant Rd
Ste A
Fort Mill, SC 29708
Phone (704) 840-2509
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
Interoperability endpoints
- dspencer880802@direct.novanthealth.org
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Community/Behavioral Health Agency
- Clover, SC
- NPI 1528583879
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Mill, SC
- NPI 1295357085
Family
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1508350349
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777680000000",
"number": "1083930663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 PLEASANT RD STE A-10701",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087213",
"telephone_number": "803-906-0952",
"fax_number": "681-662-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2764 PLEASANT RD STE A-10701",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087213",
"telephone_number": "803-906-0952",
"fax_number": "681-662-2733"
}
],
"practiceLocations": [
{
"address_1": "200 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042515",
"country_code": "US",
"telephone_number": "704-384-9414",
"fax_number": "704-384-5735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-08",
"last_updated": "2026-05-02",
"certification_date": "2026-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178379",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "2361264",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "14262996-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20187",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704252348",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024178379",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0010312",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5013569",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704252348",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "20187",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "116590",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dspencer880802@direct.novanthealth.org",
"affiliation": "N",
"address_1": "200 Hawthorne Ln",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.