| Jennifer Spivey, | |
|
326 Shirley Avenue, Douglas, GA 31533 | |
| (912) 384-0322 | |
| (912) 260-1086 |
| Full Name | Jennifer Spivey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 326 Shirley Avenue, Douglas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447641048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN138202 (Georgia) | Primary |
| Entity Name | Douglas Internal Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275542953 PECOS PAC ID: 4789608738 Enrollment ID: O20060118000267 |
| Entity Name | Douglas Vascular Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619244555 PECOS PAC ID: 1850568361 Enrollment ID: O20120125000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Spivey, 326 Shirley Ave, Douglas, GA 31533-2332 Ph: (912) 384-0322 | Jennifer Spivey, 326 Shirley Avenue, Douglas, GA 31533 Ph: (912) 384-0322 |
Jennifer Kay Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Connector 206 N, Douglas, GA 31533 Phone: 912-389-6885 Fax: 912-393-1015 |
Taylor Lamar Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533 Phone: 912-383-5655 Fax: 912-389-2117 |
Mrs. Shanda Deleice Carter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966 |
Sarah Simmons Mikell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Shirley Ave Ste B, Douglas, GA 31533 Phone: 912-384-2474 |
Mrs. Nancy Danielle Collins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Ward St W Ste B, Douglas, GA 31533 Phone: 912-384-4111 Fax: 912-384-4117 |
Kera Ashlyn Malphus, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1001 Ward St W, Douglas, GA 31533 Phone: 912-384-7210 |
Patricia Arasely Jaimes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 |