Individual provider Active NPI

Dustin Spencer, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1083930663
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20187 Issued in SC
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

Updated by the provider on May 2, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address dspencer880802@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161027002073 SC Practitioner - Nurse Practitioner 7113827015 Reassigns benefits to 3 organizations
I20210510001030 NC Practitioner - Nurse Practitioner 7113827015 Reassigns benefits to 3 organizations

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
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

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

LicenseStateTypeSpecialty
4704252348MIMDFamily Nurse Practitioner
20187SCMDFamily Nurse Practitioner
L8-0010312DEMDPsychiatric/Mental Health Nurse Practitioner
2361264MAMDPsychiatric/Mental Health Nurse Practitioner
116590NEMDPsychiatric/Mental Health Nurse Practitioner
14262996-4405UTMDPsychiatric/Mental Health Nurse Practitioner
0024178379VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Current Accepting new patients
App of South Carolina Ed PLLC CurrentSince Oct 31, 2017 Accepting new patients
Thrive Family Services CurrentSince Dec 7, 2020 Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Dec 28, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Mar 1, 2022 Accepting new patients
Musc Community Physicians CurrentSince Apr 25, 2022 Accepting new patients
Spencer Health and Wellness Family CurrentSince May 1, 2020 Accepting new patients
Musc Community Physicians CurrentSince Apr 25, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NMG Health Services LLC CurrentSince Mar 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Dec 28, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 12, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 12, 2021 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 PastSince Dec 7, 2020 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

  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.