Individual provider Active NPI

Dennis Spencer

  • Obstetrics & Gynecology Physician
  • Greensboro, GA
National Provider Identifier
1386723310
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
047663 Issued in GA
Practice address
803 S Main St
Greensboro, GA 30642-1211
Phone
(706) 453-1201
Fax
(706) 999-3221
NPI assigned
Nov 2, 2006
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 047663 GA Primary

Addresses

Primary practice location

803 S Main St
Greensboro, GA 30642-1211

Mailing address

803 S Main St
Greensboro, GA 30642-1211
Phone (706) 453-1201

Other names 1

  • Dennis Spencer Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070106000016 GA Practitioner - Obstetrics/GynecologyPractitioner - General PracticePractitioner - Emergency Medicine 8325048895 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Emergency Medicine, General Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erx Group LLCGroup PAC ID 9335037571, 16 clinicians
Southland Optim Screven Emergency Medical Services LLCGroup PAC ID 9739480021, 19 clinicians
Madison Emergency Group, PCGroup PAC ID 2961829072, 8 clinicians
Southland Dodge Emergency Medical Services, LLCGroup PAC ID 8224360805, 12 clinicians

Practice addresses (Care Compare)

117 Kite Rd
Swainsboro, GA 30401-3231
Phone (248) 972-8725

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (912) 375-7781

1740 Lions Club Rd
Madison, GA 30650-4762
Phone (706) 342-1667

901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 448-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.56 of 100Reported as group
Quality
82.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Jan 13, 2023 Accepting new patients
Southland Taylor Hospitalist Group, LLC CurrentSince Nov 27, 2023 Accepting new patients
Southland Consolidated Emergency Services, LLC CurrentSince Jun 12, 2023 Accepting new patients
Southland Optim Screven Emergency Medical Services LLC CurrentSince Sep 30, 2024 Accepting new patients
Southland Cochran Emergency Medical Services, LLC CurrentSince Jan 13, 2023 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
United Emergency Services, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Madison Emergency Group, PC CurrentSince Aug 15, 2020 Accepting new patients
Southland Dodge Emergency Medical Services, LLC CurrentSince Jan 13, 2023 Accepting new patients
Southland Hawkinsville Emergency Medical Services, LLC CurrentSince Jan 13, 2023 Accepting new patients
Southeastern Hospitalist Physicians, LLP Past Accepting new patients
Carter Emergency Physicians Past Accepting new patients
Washington Wilkes Emergency Physicians LLC Past Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

1077 S Main St
Madison, GA 30650
Phone (706) 342-0449

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

120 Gordon St
Washington, GA 30673
Phone (706) 678-1177

Interoperability endpoints

  • Direct secure messaging: dennisspencer@mmc.medalliesdirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1386723310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-453-1201",
            "fax_number": "706-999-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-453-1201",
            "fax_number": "706-999-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "047663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "SPENCER",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.