Active NPI
Steven Edward Spencer, M.D.
- Pediatric Infectious Diseases Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- MD218587
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sspencer622000@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022009 | LA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | 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 | Current | 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
- 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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Clinic/Center
- Portland, OR
- NPI 1700809027
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.