Individual provider Active NPI

Leigh M Spicer, MD

  • Family Medicine Physician
  • Daniel Island, SC
National Provider Identifier
1215043856
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26739 Issued in SC
Practice address
899 Island Park Dr
Ste. 200
Daniel Island, SC 29492-8112
Phone
(843) 856-6402
Fax
(843) 216-5068
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26739 SC Primary

Addresses

Primary practice location

899 Island Park Dr
Ste. 200
Daniel Island, SC 29492-8112

Mailing address

201 Sigma Dr
Ste 100
Summerville, SC 29486-7715
Phone (843) 856-6402

Other identifiers 2

IdentifierTypeStateIssuer
P00384451OtherSCRR MEDICARE
267393MedicaidSC

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

LicenseStateTypeSpecialty
26739SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1215043856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIGMA DR",
            "address_2": "STE 100",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867715",
            "telephone_number": "843-856-6402",
            "fax_number": "843-216-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 ISLAND PARK DR",
            "address_2": "STE. 200",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928112",
            "telephone_number": "843-856-6402",
            "fax_number": "843-216-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "LEIGH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00384451",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267393",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.