Jasmin Spencer

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004495 Issued in GA

Practice address

10013 Cormac St
Jonesboro, GA 30238-6075

Phone

(404) 645-8283

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1952045940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10013 CORMAC ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10013 CORMAC ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386075",
            "telephone_number": "404-645-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JASMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Crescent Primary Care
• Southern Creseant Surgical Assistants
• Southlake Ambulatory Surgery Center, LLLP
• Southmetro Chiropractic Center, Inc
• Southside Medical Center, Inc
• Laquanda Spince, NP
• Spine & Orthopedic Center
• Patsy Sprague
• Vanessa Stapleton, LPC,NCC,CADCII, MAC
• Steele Creek Wellness Center

• Physical Therapy Assistant in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.