Jack Christopher Spencer, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22163 Issued in SC

Practice address

181 Calhoun St
Charleston, SC 29424

Phone

(843) 953-5520

NPI assigned

May 1, 2006

Last updated

Oct 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nason Medical Center IV, LLC

  • Urgent Care Clinic/Center
  • Charleston, SC
  • NPI 1689972739
  NPD (past)
• Nason Medical Center V, LLC

  • Urgent Care Clinic/Center
  • Summerville, SC
  • NPI 1427306299
  NPD (past)
• St. Andrews Urgent Care, PC

  dba Doctors Express

  • Urgent Care Clinic/Center
  • Charleston, SC
  • NPI 1831416346
  NPD (past)
• University of Alabama at Birmingham

  dba UAB Emergency Department

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1407837750
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1255398350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294240001",
            "telephone_number": "843-953-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29424",
            "telephone_number": "843-953-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29424",
            "country_code": "US",
            "telephone_number": "843-953-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JACK",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "22163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD22163",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "22163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Hirsig Spence, M.D.
• Ashley Dawn Spencer, FNP
• Bettie J Spencer, CRNA
• Caleb Spencer, ATC
• Deborah Vinson Spencer, M.D.
• Jordan M Spencer, DO
• Nathaniel Andrew Spencer, D.O.
• Susan X Spencer
• Patricia Spens
• John B Sperry Jr., M.D.

• General Practice Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.