Active NPI
Julia Katherine Spurlock, P.A-C
- Physician Assistant
- Summerville, SC
National Provider Identifier
1467409375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17693
- Practice address
- 410 N Main St
Summerville, SC 29483-6420 - Phone
- (843) 871-3277
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17693 | CA | Primary |
Addresses
Primary practice location
410 N Main St
Summerville, SC 29483-6420
Mailing address
410 N Main St
Summerville, SC 29483-6420
Phone (843) 871-3277
Other practice location 1
15630 18th Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17693 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Urgent Cares LLC | Current | Accepting new patients | |
| Vallejo Emergency Physicians Medical Group Inc. | Past | Accepting new patients |
Locations
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
410 N Main St
Summerville, SC 29483
Phone (843) 871-3277
Organizations & group practices 2
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.
-
dba Novant Health Urgent Care
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
-
- Emergency Medicine Physician
- Vallejo, CA
- NPI 1083916373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1467409375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836420",
"telephone_number": "843-871-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836420",
"telephone_number": "843-871-3277"
}
],
"practiceLocations": [
{
"address_1": "15630 18th Ave",
"address_purpose": "LOCATION",
"city": "Clearlake",
"state": "CA",
"postal_code": "954229336",
"country_code": "US",
"telephone_number": "707-994-6486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPURLOCK",
"first_name": "JULIA",
"middle_name": "KATHERINE",
"credential": "P.A-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.