Spencer Lucile Craig

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9164 Issued in GA

Practice address

1265 Upper Hembree Rd Ste 100
Roswell, GA 30076-1258

Phone

(770) 751-1133

Fax

(770) 751-7410

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: scraig1@directaddress.net

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

• Atlanta Center for Dermatologic Diseases PC

  • Dermatology Physician
  • Roswell, GA
  • NPI 1417910431
  NPD (past)
• Northside Plastic Surgery

  • Plastic Surgery Physician
  • Roswell, GA
  • NPI 1740245950
  NPD (past)

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1376001362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761258",
            "telephone_number": "770-751-1133",
            "fax_number": "770-751-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UPPER HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761258",
            "telephone_number": "770-751-1133",
            "fax_number": "770-751-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "SPENCER",
        "middle_name": "LUCILE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "9164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "9164",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cpmsc Roswell, LLC
• Crabapple Internal Medicine, PC
• Crabapple Med, Inc.
• Crabapple OB&GYN, PC
• Mackenzie Craig
• Mark E. Crawford, PH.D.
• Helen Song Creagan, PHARMD
• Create It Kids Club, LLC.
• Creative Hospice Care Inc (Traditions Health)
• Creekview Family Chiropractic LLC

• Medical Physician Assistant in Roswell, GA
• Providers in Roswell, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.