Individual provider Active NPI

John Casey Spivey, MD

  • Orthopaedic Surgery Physician
  • Vidalia, GA
National Provider Identifier
1659517811
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
71885 Issued in GA
Practice address
3301 E 1St St Ste a
Vidalia, GA 30474-8674
Phone
(912) 537-4411
Fax
(912) 538-8485
NPI assigned
Dec 18, 2008
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 71885 GA Primary

Addresses

Primary practice location

3301 E 1St St Ste a
Vidalia, GA 30474-8674

Mailing address

3301 E 1St St Ste a
Vidalia, GA 30474-8674
Phone (912) 537-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20170808002938 GA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5294962783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Mercer University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Spivey Orthopedic Clinic LLCGroup PAC ID 5395797336, 12 clinicians

Practice addresses (Care Compare)

3301 1St St E
Suite a
Vidalia, GA 30474
Phone (912) 537-4411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Spivey Orthopedic Clinic, LLC Orthopaedic Surgery CurrentSince Aug 1, 2017 Accepting new patients

Locations

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

3301 E 1st St
#A
Vidalia, GA 30474
Phone (912) 355-8000

Interoperability endpoints

  • Direct secure messaging: cspivey@spiveyortho.emadirect.md
  • Direct secure messaging: john.spivey.p47@direct.tenet.nextgenshare.com
  • Direct secure messaging: john.spivey.p48@direct.tenet.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1659517811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E 1ST ST STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748674",
            "telephone_number": "912-537-4411",
            "fax_number": "912-538-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 1ST ST STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748674",
            "telephone_number": "912-537-4411",
            "fax_number": "912-538-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "JOHN",
        "middle_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "71885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.