Individual provider Active NPI

Gary G Spencer, M.D.

  • Family Medicine Physician
  • Hopkinsville, KY
National Provider Identifier
1740282714
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20270 Issued in KY
Practice address
1602B Canton St
Hopkinsville, KY 42240-1924
Phone
(270) 885-0953
Fax
(270) 886-5072
NPI assigned
Aug 10, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20270 KY Primary

Addresses

Primary practice location

1602B Canton St
Hopkinsville, KY 42240-1924

Mailing address

1602B Canton St
Hopkinsville, KY 42240-1924
Phone (270) 885-0953

Other identifiers 2

IdentifierTypeStateIssuer
000000175867OtherKYANTHEM
64202708MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20040826000065 KY Practitioner - Family Practice 6709850571 Reassigns benefits to 3 organizations
Practice locations: Hopkinsville, KY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

10755 Eagle Way
Suite 100
Hopkinsville, KY 42240-8742
Phone (270) 887-0270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2270KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Family Medicine Current Accepting new patients
Hopkinsville Family Care PSC Family Medicine CurrentSince May 31, 2020 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Clark & Powell Associates, LLC Past Accepting new patients
Gary G. Spencer, MD, LLC Family Medicine PastSince Jan 1, 1990 Accepting new patients
Clark & Powell Associates, LLC PastSince Feb 23, 2020 Accepting new patients

Locations

10755 Eagle Way
Ste 100
Hopkinsville, KY 42240
Phone (270) 887-0270

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

1724 Kenton St
Ste 2B
Hopkinsville, KY 42240
Phone (270) 632-4555

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

Interoperability endpoints

  • Direct secure messaging: gspencer1011836@direct.deaconess.com

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740282714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602B CANTON ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401924",
            "telephone_number": "270-885-0953",
            "fax_number": "270-886-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602B CANTON ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401924",
            "telephone_number": "270-885-0953",
            "fax_number": "270-886-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "GARY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "20270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000175867",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64202708",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.