Individual provider Active NPI

Jessica Spirl, PA-C

  • Surgical Physician Assistant
  • North Augusta, SC
National Provider Identifier
1104254820
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
325 Georgia Ave Ste 100
North Augusta, SC 29841-3848
Phone
(803) 202-3351
Fax
(803) 819-8532
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X GA Primary

Addresses

Primary practice location

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 202-3351

Other practice location 1

447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone (706) 854-2222

Other practice location 2

925 Branch Ct Ste 101
Grovetown, GA 30813-3325
Phone (706) 396-1199

Other practice location 3

1348 Walton Way
suite 5700
Augusta, GA 30901-5104
Phone (706) 722-8242

Other practice location 4

1348 Walton Way
suite 5700
Augusta, GA 30901-5104
Phone (706) 722-8242

Other practice location 5

4720 Washington Rd
Evans, GA 30809-5875
Phone (706) 650-0111

Other names 1

  • Jessica Spirl-Hooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20140224001031 GA Practitioner - Physician Assistant 4284864034 Reassigns benefits to 1 organization
I20180424000006 SC Practitioner - Physician Assistant 4284864034

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1348 Walton Way
Suite 5700
Augusta, GA 30901-5110
Phone (706) 722-8242

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2490SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Prompt Care Current Accepting new patients
University Medical Group LLC Current Accepting new patients
University Health Care Physicians LLC Current Accepting new patients

Locations

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

4720 Washington Rd
Evans, GA 30809
Phone (706) 650-0111

925 Branch Ct
Ste 101
Grovetown, GA 30813
Phone (706) 396-1199

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1104254820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-202-3351",
            "fax_number": "803-819-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GEORGIA AVE STE 100",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413848",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 N Belair Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Branch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133325",
            "country_code": "US",
            "telephone_number": "706-396-1199",
            "fax_number": "706-936-1452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1348 Walton Way",
            "address_2": "suite 5700",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015104",
            "country_code": "US",
            "telephone_number": "706-722-8242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1348 Walton Way",
            "address_2": "suite 5700",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015104",
            "country_code": "US",
            "telephone_number": "706-722-8242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095875",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIRL",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SPIRL-HOOPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.