Individual provider Active NPI

Georgia Rae Spolec, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1871017954
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134701 Issued in TX
Practice address
3805 22ND PL
Lubbock, TX 79410-1117
Phone
(806) 687-5670
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134701 TX Primary

Addresses

Primary practice location

3805 22ND PL
Lubbock, TX 79410-1117

Mailing address

3805 22ND PL
Lubbock, TX 79410-1117
Phone (806) 687-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231213003385 TX Practitioner - Nurse Practitioner 3678848736 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134701TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Bariatric Surgery Center CurrentSince Nov 27, 2023 Accepting new patients

Locations

3805 22nd Pl
Lubbock, TX 79410
Phone (806) 535-2492

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1871017954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101117",
            "telephone_number": "806-687-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101117",
            "telephone_number": "806-687-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOLEC",
        "first_name": "GEORGIA",
        "middle_name": "RAE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.