James Montgomery Spencer, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME68471 Issued in FL

Practice address

5013 96TH St E
Palmetto, FL 34221-1318

Phone

(727) 388-6982

Fax

(727) 323-7001

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Columbia University College of Physicians and Surgeons, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visage Dermatology, LLCGroup PAC ID 2163420621, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jspencer@aadermaffiliates.emadirect.md

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.

• Visage Dermatology, LLC

  • Specialist
  • St Petersburg, FL
  • NPI 1932200045
  Medicare reassignment Care Compare group NPD
• Academic Alliance in Dermatology, PLLC

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1952978801
  NPD
• K Wade Foster MD PA

  dba Florida Dermatology & Skin Cancer Centers

  • MOHS-Micrographic Surgery Physician
  • Winter Haven, FL
  • NPI 1205066404
  NPD (past)
• University of Miami

  dba UMiami Medicine Multi Specialty Services

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD (past)
• University of Miami

  dba UMiami Medicine - Dermatology

  • Dermatology Physician
  • Miami, FL
  • NPI 1578512125
  NPD (past)
• University of Miami

  dba UMiami Medicine - Dermatopathology Lab

  • Clinical Medical Laboratory
  • Miami, FL
  • NPI 1790846087
  NPD (past)
• Bruce E. Katz, MD, PC

  dba Juva Skin & Laser Center

  • Specialist
  • Brooklyn, NY
  • NPI 1710127675
  NPD (past)
• Bruce E. Katz, MD, PC

  dba Juva Skin and Laser Center

  • Dermatology Physician
  • Woodside, NY
  • NPI 1962682666
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1730102385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108141",
            "telephone_number": "727-388-6982",
            "fax_number": "727-323-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 96TH ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211318",
            "telephone_number": "727-388-6982",
            "fax_number": "727-323-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5253 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337108141",
            "country_code": "US",
            "telephone_number": "727-388-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JAMES",
        "middle_name": "MONTGOMERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME68471",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME68471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharelle Smith, NP
• Sherita Sheneria Smith, COTA/L
• Wendy Marie Smith
• Brittany Elizabeth Smolarz
• Sovereign Healthcare of Palmetto, LLC (Riviera Palms Rehabilitation Center)
• Jessica Spencer, EDD, CAP, CPP
• Spirit Filled Companion Care Helpers Inc (Spirit Filled Companions)
• Michele Stancil, OTRL
• Irena Stefan, APRN
• Jessica Ann Stellaci, DPT

• Dermatology Physician in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.

Verify at the official NPI Registry.