NPIMap

Organization Active NPI

Spencer Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1295357085
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SPENCER HEALTH AND WELLNESS
Practice address
2764 Pleasant Rd
Ste a PMB 10701
Fort Mill, SC 29708-7214
Phone
(803) 262-3667
Fax
(681) 662-2733
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Dr. Dustin Spencer, DNPNPI 1083930663
Title
President
Phone
(803) 906-0952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2764 Pleasant Rd
Ste a PMB 10701
Fort Mill, SC 29708-7214

Mailing address

2764 Pleasant Rd
Ste a PMB 10701
Fort Mill, SC 29708-7214
Phone (803) 262-3667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr-spencer@direct.practicefusion.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: dr-spencer@direct.practicefusion.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1295357085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD",
            "address_2": "STE A PMB 10701",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087214",
            "telephone_number": "803-262-3667",
            "fax_number": "681-662-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD",
            "address_2": "STE A PMB 10701",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087214",
            "telephone_number": "803-262-3667",
            "fax_number": "681-662-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-906-0952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr-spencer@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct provider email",
            "address_1": "2764 Pleasant Rd",
            "address_2": "STE A PMB 10701",
            "city": "Fort Mill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297087214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.