Individual provider Active NPI

Tiffany Nicole Spencer, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1962919209
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21547 Issued in SC
Practice address
802 E Martintown Rd Ste 105
North Augusta, SC 29841-5312
Phone
(803) 508-4729
Fax
(803) 220-3011
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21547 SC Primary
Adult Health Nurse Practitioner 363LA2200X 21547 SC
Primary Care Nurse Practitioner 363LP2300X 21547 SC

Addresses

Primary practice location

802 E Martintown Rd Ste 105
North Augusta, SC 29841-5312

Mailing address

802 E Martintown Rd Ste 105
North Augusta, SC 29841-5312
Phone (803) 509-4729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21547SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Lily Care Solutions, LLC Adult Health CurrentSince Nov 19, 2023 Accepting new patients

Locations

802 E Martintown Rd
Ste 105
North Augusta, SC 29841
Phone (803) 508-4729

336 Georgia Ave
Ste 106
North Augusta, SC 29841
Phone (803) 202-3351

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1962919209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E MARTINTOWN RD STE 105",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298415312",
            "telephone_number": "803-509-4729",
            "fax_number": "803-220-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E MARTINTOWN RD STE 105",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298415312",
            "telephone_number": "803-508-4729",
            "fax_number": "803-220-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "21547",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "21547",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "21547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.