Individual provider Active NPI

Richard Glenn Spurlock Jr., MD

  • Emergency Medicine Physician
  • Newnan, GA
National Provider Identifier
1659588762
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
059207 Issued in GA
Practice address
931 Lower Fayetteville Rd
Newnan, GA 30263-5790
Phone
(770) 683-7546
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME154944 FL
Emergency Medicine Physician 207P00000X 059207 GA Primary

Addresses

Primary practice location

931 Lower Fayetteville Rd
Newnan, GA 30263-5790

Mailing address

931 Lower Fayetteville Rd
Newnan, GA 30263-5790
Phone (770) 683-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070730000456 GA Practitioner - Emergency Medicine 0446351829 Reassigns benefits to 6 organizations
Practice locations: Newnan, GA
I20220920002478 FL Practitioner - Emergency Medicine 0446351829 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154944FLMDEmergency Medicine Physician
059207GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Sep 21, 2017 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Apr 4, 2019 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 18, 2022 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Dec 30, 2017 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2007 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Jan 15, 2013 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 18, 2022 Accepting new patients
Apollomd Group Services LLC Emergency Medicine Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: richard.spurlock@westgahealth.gadirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1659588762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-683-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-683-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "RICHARD",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME154944",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "059207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.