Jorge A Spinolo, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036016 Issued in GA

Practice address

1045 Southcrest Dr Ste 200
Stockbridge, GA 30281-6113

Phone

(678) 289-0549

Fax

(678) 289-8756

NPI assigned

Jan 4, 2006

Last updated

Dec 1, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, NM2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jorge.spinolomd.p1@direct.gacancer.nextgenshare.com

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.

• PHC-Las Cruces Inc

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1164445136
  Medicare reassignment NPD
• PHC Las Cruces Inc

  dba ID Consultants

  • Infectious Disease Physician
  • Las Cruces, NM
  • NPI 1942581202
  NPD
• PHC Las Cruces Inc.

  dba Memorial Medical Center-Ikard Cancer Center

  • Specialist
  • Las Cruces, NM
  • NPI 1497069397
  NPD
• The Medical Center of Central Georgia Inc

  dba Atrium Health Navicent The Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1902884414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072",
            "telephone_number": "678-289-0549",
            "fax_number": "678-289-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816113",
            "telephone_number": "678-289-0549",
            "fax_number": "678-289-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINOLO",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "036016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509726AI",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509726AH",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jorge.spinolomd.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct  Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1045 Southcrest Dr Ste 200",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302816113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hyacinth D. Spence, CRNA
• Jason Spiegler, M.D.
• Spine Center Atlanta South, LLC
• Asia M Spinks
• Kyle Gregory Spinks, DC
• Mary Jo Spitznagel White, LPC, CRC
• Springforth Mental Health & Wellness, LLC
• Sheanell Renee Spurlock, LISCNSED PCH
• Dylan Matthew Squires
• Shikha Srivastava, M.D., F.A.C.S.

• Hematology & Oncology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.