Active NPI
Tiffany Nicole Spencer, NP
- Psychiatric/Mental Health Nurse Practitioner
- North Augusta, SC
National Provider Identifier
1962919209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 21547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21547 | SC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purple Lily Care Solutions, LLC | Adult Health | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Augusta, SC
- NPI 1366103749
Adult Health
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.