Jonathan Banning Spivey, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

001626 Issued in NC

Practice address

800 Tilghman Dr
Dunn, NC 28334-5510

Phone

(910) 892-1000

NPI assigned

Jan 22, 2007

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Anesthesiology of North Carolina PLLCGroup PAC ID 2961316450, 315 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Harnett Health System, Inc.

  dba Cape Fear Valley Cancer Center-Lillington

  • Hematology & Oncology Physician
  • Lillington, NC
  • NPI 1386121929
  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1033412267
  NPD
• Harnett Health System Inc

  dba Cape Fear Valley Lillington Pharmacy

  • Community/Retail Pharmacy
  • Lillington, NC
  • NPI 1184457277
  NPD
• Harnett Health System Inc

  dba Betsy Johnson Regional Hospital

  • Certified Registered Nurse Anesthetist
  • Dunn, NC
  • NPI 1407993454

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia Resources of the Carolinas, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Dunn, NC
  • NPI 1336185974
  NPD (past)
• Perioperative Medicine Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Mullins, SC
  • NPI 1598850257
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harnett Health System, Inc.

  dba Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital

  • General Acute Care Hospital
  • Dunn, NC
  • NPI 1922144757
  Care Compare affiliation

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1891849469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18139",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345510",
            "telephone_number": "910-892-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "JONATHAN",
        "middle_name": "BANNING",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "001626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051809",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD-MEDICARE",
            "identifier": "P00284830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Medical Center, P.C.
• Southeastern Speciality Clinic
• Southmountain Children and Family Services
• Christiana Spears
• Shirley Jean Spears, SOCIAL WORKER
• Tiffany S Spooner, MS OT
• Frieda Lowry Spragins, FNP
• Jordan Clark Squires, PHARMD
• Sylvia Rose Stafford, RPH
• Brandy Lynn Starling, MSW, LCSWA

• Certified Registered Nurse Anesthetist in Dunn, NC
• Providers in Dunn, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.