Individual provider Active NPI

Steven Edward Spencer, M.D.

  • Pediatric Infectious Diseases Physician
  • San Antonio, TX
National Provider Identifier
1679536544
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
MD218587 Issued in OR
Practice address
3551 Roger Brooke Dr
San Antonio, TX 78234
Phone
(210) 916-0942
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 103028 GA
Pediatric Infectious Diseases Physician 2080P0208X 022009 LA
Pediatric Infectious Diseases Physician 2080P0208X MD218587 OR Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
San Antonio, TX 78234

Mailing address

306 E Nottingham Dr
San Antonio, TX 78209-3329
Phone (301) 806-5537

Other practice location 1

501 N Graham St Ste 355
Portland, OR 97227-2005
Phone (503) 413-3600

Other practice location 2

1447 Harper St Ste 3D
Augusta, GA 30912-0020
Phone (706) 721-5437

Other practice location 3

16900 Georgia Ave N.W.
Washington, DC 20307-0001
Phone (202) 782-9506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sspencer622000@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, GA2 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
I20240104004816 OR Practitioner - Pediatric Medicine 3375774185 Reassigns benefits to 1 organization
I20250401001692 GA Practitioner - Pediatric MedicinePractitioner - Infectious Disease 3375774185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Infectious Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022009LAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 13, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 13, 2023 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

501 N Graham St
Ste 355
Portland, OR 97227
Phone (503) 413-2560

Interoperability endpoints

  • Direct secure messaging: sspencer622000@directwellstar.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1679536544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E NOTTINGHAM DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093329",
            "telephone_number": "301-806-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-916-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St Ste 355",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272005",
            "country_code": "US",
            "telephone_number": "503-413-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1447 Harper St Ste 3D",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120020",
            "country_code": "US",
            "telephone_number": "706-721-5437",
            "fax_number": "706-721-9714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16900 Georgia Ave N.W.",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070001",
            "country_code": "US",
            "telephone_number": "202-782-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "GA",
            "license": "103028",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "LA",
            "license": "022009",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "OR",
            "license": "MD218587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sspencer622000@directwellstar.org",
            "affiliation": "N",
            "address_1": "1447 Harper St Ste 3D",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309120020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.