Active NPI
Jimmy A. Spivey, M.D.
- Orthopaedic Surgery Physician
- Covington, GA
National Provider Identifier
1144218801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 012572
- Practice address
- 5303 Adams St NE
Ste a
Covington, GA 30014-6208 - Phone
- (706) 549-1663
- Fax
- (706) 546-8792
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 012572 | GA | Primary |
Addresses
Primary practice location
5303 Adams St NE
Ste a
Covington, GA 30014-6208
Mailing address
1765 Old West Broad St
BLDG 2, Ste 200
Athens, GA 30606
Phone (706) 549-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000143932K | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012572 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Orthopedic Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1144218801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST",
"address_2": "BLDG 2, STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 ADAMS ST NE",
"address_2": "STE A",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300146208",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVEY",
"first_name": "JIMMY",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "012572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000143932K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.