| Charles M Spivey, MD | |
|
3301 First Street East, Suite A, Vidalia, GA 30474 | |
| (912) 537-4411 | |
| (912) 538-8485 |
| Full Name | Charles M Spivey |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 27 Years |
| Location | 3301 First Street East, Vidalia, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861486862 | NPI | - | NPPES |
| 501468518E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 047846 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Optim Medical Center - Tattnall | Reidsville, GA | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark Spivey Orthopedic Clinic Llc | 5395797336 | 11 |
| Entity Name | Mark Spivey Orthopedic Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104017821 PECOS PAC ID: 5395797336 Enrollment ID: O20050217000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Spivey, MD 3301 First Street East, Suite A, Vidalia, GA 30474 Ph: (912) 537-4411 | Charles M Spivey, MD 3301 First Street East, Suite A, Vidalia, GA 30474 Ph: (912) 537-4411 |
John W Robison, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3301 E 1st St Ste A, Vidalia, GA 30474 Phone: 312-537-4411 Fax: 912-538-8485 | |
Dr. John Casey Spivey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3301 E 1st St Ste A, Vidalia, GA 30474 Phone: 912-537-4411 Fax: 912-538-8485 |