Individual provider Active NPI

Ashleigh Dehnea Spencer, D.C.

  • Chiropractor
  • St Simons Island, GA
National Provider Identifier
1497013783
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO09097 Issued in GA
Practice address
116 Island Professional Park
St Simons Island, GA 31522-2879
Phone
(912) 634-2245
Fax
(912) 634-8780
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 937 WV
Chiropractor 111N00000X CHIRO09097 GA Primary

Addresses

Primary practice location

116 Island Professional Park
St Simons Island, GA 31522-2879

Mailing address

116 Island Professional Park
St Simons Island, GA 31522-2879
Phone (912) 634-2245

Other names 1

  • Ashleigh Dehnea Greene Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000812 GA Practitioner - Chiropractic 1759522873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 Island Professional Park
St Simons Island, GA 31522-2879
Phone (912) 634-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
937WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Spine Specialists LLC Chiropractor CurrentSince Feb 15, 2013 Accepting new patients

Locations

116 Island Professional Park
St Simons Island, GA 31522
Phone (912) 634-2245

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1497013783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ISLAND PROFESSIONAL PARK",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222879",
            "telephone_number": "912-634-2245",
            "fax_number": "912-634-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ISLAND PROFESSIONAL PARK",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222879",
            "telephone_number": "912-634-2245",
            "fax_number": "912-634-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ASHLEIGH",
        "middle_name": "DEHNEA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "937",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "GREENE",
            "middle_name": "DEHNEA",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.