Individual provider Active NPI

Gene David Spencer Jr., MD

  • Anatomic Pathology Physician
  • Germantown, TN
National Provider Identifier
1447284583
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MD0000023472 Issued in TN
Practice address
7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Phone
(901) 542-6801
Fax
(901) 542-6871
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X MD0000023472 TN Primary

Addresses

Primary practice location

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745

Mailing address

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Phone (901) 542-6801

Other identifiers 7

IdentifierTypeStateIssuer
3031202MedicaidTN
3069960MedicaidTN
96815OtherARBLUE CROSS
122674001MedicaidAR
3031202OtherTNBLUE CROSS BLUE SHIELD
203599402MedicaidMO
0112994MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101109000548 TN Practitioner - Pathology 4789879370 Reassigns benefits to 1 organization
I20141208000717 MS Practitioner - Pathology 4789879370 Reassigns benefits to 1 organization
I20200723000170 AR Practitioner - Pathology 4789879370

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Specialists of Memphis PCGroup PAC ID 5193117364, 15 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7182

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (901) 516-7182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000023472TNMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trumbull Laboratories, LLC Current Accepting new patients
Methodist Surgery Center Germantown LP Current Accepting new patients
Pathology Specialists of Memphis PC Anatomic Pathology CurrentSince Jan 1, 2022 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800

1363 S Germantown Rd
Memphis, TN 38138
Phone (901) 516-6000

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1265 Union Ave
#6
Memphis, TN 38104
Phone (901) 726-2305

6046 Knight Arnold Road Ext
Ste 101
Memphis, TN 38115
Phone (901) 542-6800

Interoperability endpoints

  • Direct secure messaging: gspencer26410@mlh.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1447284583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381745",
            "telephone_number": "901-542-6801",
            "fax_number": "901-542-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381745",
            "telephone_number": "901-542-6801",
            "fax_number": "901-542-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "GENE",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TN",
            "license": "MD0000023472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031202",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069960",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "96815",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122674001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3031202",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203599402",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112994",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.