Individual provider Active NPI

Gregory Spires, APRN FNP-C

  • Family Nurse Practitioner
  • Niceville, FL
National Provider Identifier
1861258279
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031011 Issued in FL
Practice address
401 McEwen Dr
Niceville, FL 32578-2741
Phone
(850) 400-3488
NPI assigned
Feb 23, 2024
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11031011 FL
Family Nurse Practitioner 363LF0000X APRN11031011 FL Primary

Addresses

Primary practice location

401 McEwen Dr
Niceville, FL 32578-2741

Mailing address

201 Sweetgum CT
Niceville, FL 32578-1253
Phone (850) 573-0963

Other practice location 1

3401 N 12th Ave
Pensacola, FL 32503-4008
Phone (850) 595-5800

Other practice location 2

336 College Ave
Defuniak Springs, FL 32435-2812
Phone (850) 892-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509001528 FL Practitioner - Nurse Practitioner 1052752953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11031011FLMDFamily Nurse Practitioner
APRN11031011FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Mar 28, 2024 Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

4120 Henderson Blvd
Tampa, FL 33629
Phone (813) 281-5353

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1861258279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SWEETGUM CT",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781253",
            "telephone_number": "850-573-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MCEWEN DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782741",
            "telephone_number": "850-400-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325034008",
            "country_code": "US",
            "telephone_number": "850-595-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 College Ave",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324352812",
            "country_code": "US",
            "telephone_number": "850-892-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIRES",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.