Organization Active NPI

Stanston D. Spence, M.D., P.C.

  • General Acute Care Hospital
  • Atlanta, GA
National Provider Identifier
1821492513
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
32474 Issued in GA
Legal business name
STANSTON D. SPENCE, M.D., P.C.
Practice address
303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone
(678) 586-3055
Fax
(678) 586-3674
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Stanston D Spence, M.D.
Title
Owner/Dr.
Phone
(678) 586-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 32474 GA Primary

Addresses

Primary practice location

303 Parkway Dr NE
Atlanta, GA 30312-1212

Mailing address

PO Box 162728
Atlanta, GA 30321-2728
Phone (678) 586-3055

Other identifiers 1

IdentifierTypeStateIssuer
000415599BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1821492513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162728",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303212728",
            "telephone_number": "678-586-3055",
            "fax_number": "678-586-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "678-586-3055",
            "fax_number": "678-586-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANSTON D. SPENCE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "STANSTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DR.",
        "authorized_official_telephone_number": "678-586-3055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "32474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000415599B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.