Beverly J Spivey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25957 Issued in NC

Practice address

1314 Medical Dr
Suite 102
Fayetteville, NC 28304-4442

Phone

(910) 323-2503

Fax

(910) 323-4260

NPI assigned

Feb 24, 2006

Last updated

Jun 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1417923087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15133",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040133",
            "telephone_number": "919-477-5152",
            "fax_number": "919-477-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 MEDICAL DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044442",
            "telephone_number": "910-323-2503",
            "fax_number": "910-323-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "BEVERLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "78945",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978945",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spigner Management Systems, Inc. (Universal Paradise Home Care)
• Spigner Management Systems, Inc.
• Ciana Aysha Spillman
• Omega Spinelli, CADC-R
• Matthew F Spinicchia, PA
• Tierra Christina Spivey
• Jazmynique Andrea Spotts, LMBT
• Alfred Francis Spriggs, ADDICTION THERAPIST
• Kurt Elvin Springer, MSW, LCSW, QP, SAC
• Averi Sproles, PA

• Family Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.