Individual provider Active NPI

Olinda P. Spencer, M.D.

  • Neurology Physician
  • Little River, SC
National Provider Identifier
1487072823
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
52318 Issued in SC
Practice address
3980 Highway 9 E Ste 300
Little River, SC 29566-8165
Phone
(843) 646-8040
Fax
(843) 646-8049
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 52318 SC Primary

Addresses

Primary practice location

3980 Highway 9 E Ste 300
Little River, SC 29566-8165

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 646-8921

Other identifiers 1

IdentifierTypeStateIssuer
523188MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address olinda.spencer@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180813001053 SC Practitioner - Neurology 0042568784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

3781 McDowell Lane
Suite 200
Little River, SC 29566-7833
Phone (843) 366-3891

3980 Hwy 9 E
Little River, SC 29566-8165

4000 Hwy 9 E
Suite 250
Little River, SC 29566-7833
Phone (843) 366-3891

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52318SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Neurology CurrentSince Jul 1, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Neurology CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Jul 1, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3980 Highway 9 E
Ste 300
Little River, SC 29566
Phone (843) 366-3891

907 Startek Dr
Myrtle Beach, SC 29579
Phone (843) 646-8001

107 McLeod Health Blvd
Ste 102
Myrtle Beach, SC 29579
Phone (843) 646-8340

Interoperability endpoints

  • Direct secure messaging: ospencer26084@directmcleodehealth.org
  • Direct secure messaging: olinda.spencer@mpaii.eclinicaldirectplus.com

Organizations & group practices 4

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1487072823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-646-8921",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 300",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668165",
            "telephone_number": "843-646-8040",
            "fax_number": "843-646-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "OLINDA",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "52318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523188",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olinda.spencer@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "107 McLeod Health Blvd Ste 102",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295794477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.