Suzanne Glover Spicer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD0000046032 Issued in TN

Practice address

426 22ND Ave E
Springfield, TN 37172-3711

Phone

(615) 384-0600

NPI assigned

Apr 17, 2007

Last updated

Nov 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Suzanne Glover Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suzanne.glover@vipms.eclinicaldirectplus.com

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 3

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

• Vip Midsouth, LLC

  dba VIP Children's Clinic - Pleasant View

  • Rural Health Clinic/Center
  • Pleasant View, TN
  • NPI 1336722669

  Corporate Director

  CMS ownership
• Vip Midsouth, LLC

  dba VIP Children's Clinic - Springfield

  • Rural Health Clinic/Center
  • Springfield, TN
  • NPI 1528641859

  Corporate Director

  CMS ownership
• Vip Midsouth, LLC

  dba VIP Children's Clinic - Lafayette

  • Rural Health Clinic/Center
  • Lafayette, TN
  • NPI 1588247811

  Corporate Director

  CMS ownership

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.

• Vip Midsouth, LLC

  dba VIP Midsouth

  • Pediatrics Physician
  • Gallatin, TN
  • NPI 1487737912
  Medicare reassignment NPD
• Vip Midsouth, LLC

  dba VIP Children's Clinic - Pleasant View

  • Rural Health Clinic/Center
  • Pleasant View, TN
  • NPI 1336722669
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1790901049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662523",
            "telephone_number": "615-451-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 22ND AVE E",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723711",
            "telephone_number": "615-384-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "SUZANNE",
        "middle_name": "GLOVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000046032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5H781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182595001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527873",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.glover@vipms.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "426 22nd Ave E",
            "city": "Springfield",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371723711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GLOVER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sono Pro, LLC
• South Side Drug Co Inc
• South Side Drug Co., Inc. (South Side Clinical Services)
• South Side Pharmacy, Inc. (South Side Drug Co., INC.)
• Stephanie Spann, MCD, CFY, SLP
• Springfield Health Services, LLC (NorthCrest Medical Center)
• Springfield Health Services, LLC (NorthCrest Medical Center)
• Springfield Optical Inc.
• Springfield Pediatric Therapy Center PLLC
• Springfield Primary Eye Care Inc (Springfield Primary Eye Care)

• Pediatrics Physician in Springfield, TN
• Providers in Springfield, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.