Spencer Family Medicine, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPENCER FAMILY MEDICINE, PC

Practice address

650 Henderson Dr Ste 504
Cartersville, GA 30120-3760

Phone

(770) 607-9032

Fax

(770) 607-9035

NPI assigned

May 1, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Louis Andre Spencer, M.D.NPI 1669642484

Title

Medical Doctor

Phone

(770) 607-9032

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis Spencer, M.D.

  • Family Medicine Physician
  • Cartersville, GA
  • NPI 1669642484
  Medicare reassignment NPD Authorized official
• Heather Denise Czarnecke, FNP-C

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1780140269
  Medicare reassignment NPD
• Kellie Bevans, APRN, MSN, FNP-C

  • Family Medicine Physician
  • Cartersville, GA
  • NPI 1134749955
  NPD

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558748244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DRIVE, SUITE 504",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203744",
            "telephone_number": "770-607-9032",
            "fax_number": "770-607-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HENDERSON DR STE 504",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203760",
            "telephone_number": "770-607-9032",
            "fax_number": "770-607-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "770-607-9032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "1558748244",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Spine Chiropractic, LLC
• Southerncare Inc (SouthernCare Northwest Georgia)
• Southerncare, Inc. (Heartland)
• Lisa Dawn Spaulding, FNP-BC
• Specialty Pharmacy & Compounding
• Louis Spencer, M.D.
• Michele Sperl, PT
• Jacob Spitzmiller
• Rachel Spivey, CPNP-AC/PC
• Steven Allen Spivey, MD

• Clinic/Center in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.