Individual provider Active NPI

Donica Spencer

  • Family Nurse Practitioner
  • Ashburn, GA
National Provider Identifier
1265972954
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
159916 Issued in GA
Practice address
317 E Washington Ave
Ashburn, GA 31714-5248
Phone
(229) 567-4414
Fax
(229) 567-4419
NPI assigned
Mar 1, 2017
Last updated
Mar 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 159916 GA Primary

Addresses

Primary practice location

317 E Washington Ave
Ashburn, GA 31714-5248

Mailing address

317 East Washinton Ave
Ashburn, GA 31714-4322
Phone (229) 869-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170329001427 GA Practitioner - Nurse Practitioner 2163707456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

118 Robert B Lee Dr
Leesburg, GA 31763-2600
Phone (229) 759-6508

1212 E Union St
Vienna, GA 31092-7545
Phone (229) 268-8865

19519 Hartford St
Edison, GA 39846-5803
Phone (229) 835-2238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
159916GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince Dec 17, 2021 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2019 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Dec 17, 2021 Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations

1113 University St
Albany, GA 31707
Phone (229) 431-3409

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

1305 E 2nd Ave
Albany, GA 31705
Phone (229) 405-6189

1425 W Oakridge Dr
Albany, GA 31707
Phone (229) 405-6233

1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235

1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100

1801 Palmyra Rd
Albany, GA 31701
Phone (229) 434-1400

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2336 Dawson Rd
Ste 1600
Albany, GA 31707
Phone (229) 312-8750

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

2600 Radium Springs Rd
Albany, GA 31705
Phone (229) 394-4719

3125 Martin Luther King Jr Dr
Albany, GA 31701
Phone (229) 888-6650

4529 Gillionville Rd
Albany, GA 31721
Phone (229) 405-6188

123 Learning Ln
Americus, GA 31719
Phone (229) 493-9670

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1000 Newton Rd
Camilla, GA 31730
Phone (229) 889-7393

455 Greenwave Blvd
Dawson, GA 39842
Phone (229) 405-6238

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 405-6249

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

235 Walnut Ave S
Leesburg, GA 31763
Phone (229) 759-6508

327 Sunset Ave SW
#3
Newton, GA 39870
Phone (229) 734-5250

11949 US Highway 41
Pinehurst, GA 31070
Phone (229) 405-6249

1212 E Union St
Vienna, GA 31092
Phone (229) 268-8865

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1265972954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 EAST WASHINTON AVE",
            "city": "ASHBURN",
            "state": "GA",
            "postal_code": "317144322",
            "telephone_number": "229-869-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E WASHINGTON AVE",
            "city": "ASHBURN",
            "state": "GA",
            "postal_code": "317145248",
            "telephone_number": "229-567-4414",
            "fax_number": "229-567-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "159916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, GA

Sources for this page

Verify at the official NPI Registry.