Organization Active NPI

Dr Spearman, M.D., P.C.

  • Primary Care Clinic/Center
  • Augusta, GA
National Provider Identifier
1669637401
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
17310 Issued in GA
Legal business name
DR SPEARMAN, M.D., P.C.
Practice address
820 Saint Sebastian Way
Suite 6 D
Augusta, GA 30901-2643
Phone
(706) 038-8611
Fax
(706) 739-0051
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. David R. Spearman, M.D.
Title
Physician
Phone
(706) 738-8611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 17310 GA Primary

Addresses

Primary practice location

820 Saint Sebastian Way
Suite 6 D
Augusta, GA 30901-2643

Mailing address

820 Saint Sebastian Way
Suite 6 D
Augusta, GA 30901-2643
Phone (706) 038-8611

Other identifiers 1

IdentifierTypeStateIssuer
000119039BMedicaidGA

National Provider Directory

National Provider Directory

Locations

820 Saint Sebastian Way
Ste 6D
Augusta, GA 30901
Phone (706) 722-8422

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1669637401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 6 D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-038-8611",
            "fax_number": "706-739-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 6 D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-038-8611",
            "fax_number": "706-739-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SPEARMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-738-8611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "17310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000119039B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.