Individual provider Active NPI

April Latrice Spencer, M.D.

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1841464609
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59206 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste 243
Atlanta, GA 30327-4100
Phone
(678) 210-2846
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 59206 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste 243
Atlanta, GA 30327-4100

Mailing address

PO Box 53398
Just Breast, LLC
Atlanta, GA 30355-1398
Phone (708) 320-1465

Other practice location 1

1364 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone (708) 320-1465

Other identifiers 1

IdentifierTypeStateIssuer
202G700840OtherGAMEDICARE PTAN

Other names 1

  • Dr. April Latrice Speed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100414000628 GA Practitioner - Surgical OncologyPractitioner - General Surgery 1759418254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Morehouse School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1364 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone (678) 210-2846

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59206GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Change Me Foundation Inc. Current Accepting new patients
Just Breast, LLC Surgery CurrentSince Nov 1, 2013 Accepting new patients
Dekalb Medical Specialty Care Group LLC Past Accepting new patients
Dekalb Medical Hospitalists LLC Past Accepting new patients

Locations

1800 Howell Mill Rd NW
Atlanta, GA 30318
Phone (404) 350-9853

1364 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 285-3533

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJADA/Endpoint/BCJADA

Organizations & group practices 4

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 5

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1841464609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53398",
            "address_2": "JUST BREAST, LLC",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303551398",
            "telephone_number": "708-320-1465",
            "fax_number": "404-343-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 243",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274100",
            "telephone_number": "678-210-2846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Wellbrook Cir NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123872",
            "country_code": "US",
            "telephone_number": "708-320-1465",
            "fax_number": "404-343-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "APRIL",
        "middle_name": "LATRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "59206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G700840",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "SPEED",
            "middle_name": "LATRICE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.