Active NPI
John W Spicer, MD
- Family Medicine Physician
- Roswell, GA
National Provider Identifier
1649040775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38619
- Practice address
- 11205 Alpharetta Hwy Ste H4
Roswell, GA 30076-5649 - Phone
- (470) 645-4686
- Fax
- (470) 300-8509
- NPI assigned
- Jan 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38619 | GA | Primary |
Addresses
Primary practice location
11205 Alpharetta Hwy Ste H4
Roswell, GA 30076-5649
Mailing address
100 Providence Oaks Pointe
Alpharetta, GA 30004-7530
Phone (678) 409-1245
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38619 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1649040775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PROVIDENCE OAKS POINTE",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300047530",
"telephone_number": "678-409-1245",
"fax_number": "470-300-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11205 ALPHARETTA HWY STE H4",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765649",
"telephone_number": "470-645-4686",
"fax_number": "470-300-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICER",
"first_name": "JOHN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-09",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "38619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.