Active NPI
Leigh M Spicer, MD
- Family Medicine Physician
- Daniel Island, SC
National Provider Identifier
1215043856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26739
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00384451 | Other | SC | RR MEDICARE |
| 267393 | Medicaid | SC |
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 |
|---|---|---|---|
| 26739 | SC | MD | Family 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.