Active NPI
Richard Glenn Spurlock Jr., MD
- Emergency Medicine Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 059207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME154944 | FL | MD | Emergency Medicine Physician |
| 059207 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Montgomery Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Walker Lake Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Lake Oliver Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Group of Columbus, LLC | Emergency Medicine | Current | Accepting new patients |
| Lagrange Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Lake Oliver Emergency Group, LLC | Emergency Medicine | Current | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
-
- Emergency Medicine Physician
- Lagrange, GA
- NPI 1760437560
-
- Emergency Medicine Physician
- Vidalia, GA
- NPI 1861773764
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Emergency Medicine Physician
- Conyers, GA
- NPI 1437629342
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1013675016
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1548921034
-
- Emergency Medicine Physician
- Mount Pleasant, SC
- NPI 1780839365
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.