NPIMap

Individual provider Active NPI

Spencer Charles Lovelace, M.D.

  • Family Medicine Physician
  • Prosperity, SC
National Provider Identifier
1730524620
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MMD39331 Issued in SC
Practice address
600 N Wheeler Ave
Prosperity, SC 29127-9332
Phone
(803) 364-4852
NPI assigned
May 6, 2013
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10047856 TX
Emergency Medicine Physician 207P00000X Q2583 TX
Family Medicine Physician 207Q00000X MMD39331 SC Primary

Addresses

Primary practice location

600 N Wheeler Ave
Prosperity, SC 29127-9332

Mailing address

PO Box 630
Prosperity, SC 29127-0630
Phone (803) 364-4852

Other identifiers 2

IdentifierTypeStateIssuer
393318MedicaidSC
575421OtherTXBASIC POSTGRADUATE PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000593 SC Practitioner - Family Practice 7315261104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lovelace Family Medicine PAGroup PAC ID 6002719655, 9 clinicians

Practice addresses (Care Compare)

2669 Kinard St
Newberry, SC 29108-2911
Phone (803) 364-4852

600 N Wheeler Ave
Prosperity, SC 29127-9332
Phone (803) 364-4852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2583TXMDEmergency Medicine Physician
MMD39331SCMDFamily Medicine Physician
BP10047856TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Family Medicine, PA CurrentSince Aug 15, 2016 Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients

Locations

600 N Wheeler Ave
Prosperity, SC 29127
Phone (803) 364-4852

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Three Oaks HospiceColumbia, SC, CCN 421628 Hospice Contracted Managing Employee Dec 2, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1730524620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291270630",
            "telephone_number": "803-364-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WHEELER AVE",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291279332",
            "telephone_number": "803-364-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "SPENCER",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10047856",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q2583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MMD39331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393318",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC POSTGRADUATE PERMIT",
            "identifier": "575421",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosperity, SC

Sources for this page

Verify at the official NPI Registry.