DONALD CRAIG SPOON NP-C
NPI 1013381391
Nurse Practitioner - Family in Monroe, GA

Q: What is Donald Spoon's NPI number?

The NPI number for Donald Spoon is 1013381391. It was assigned to this individual provider in the NPPES registry on November 24, 2015. The provider is also known as Donald Spoon Np.

Q: What is Donald Spoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Spoon was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 24, 2015PECOS EnrolledAccepts Medicare Assignment

51.26/100

CMS Quality Rating

2151 W SPRING ST, MONROE, GA 30655(770) 267-1789 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2017, Jan 28, 2016, Nov 24, 2015 (3 updates tracked since 2015).

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About Donald Craig Spoon Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD CRAIG SPOON NP-C (NPI 1013381391) is an individual family provider in Monroe, Georgia, licensed in Georgia (RN213238) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and maintains a secondary practice location in Suffolk.

NPPES Registry Identity

NPI1013381391

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDONALD CRAIG SPOONCredential: NP-C

Location Address2151 W SPRING STMonroe, GA 30655-3115

Mailing Address1621 Highland Creek DrMonroe, GA 30656-2508 · (470) 564-8477

Phone(770) 267-1789

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 24, 2015

Last NPPES UpdateFebruary 27, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2026

✔ NPI 1013381391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · RN213238✔ Licensed in VA · 0024192765

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN213238 (GA)

2151 W SPRING ST, Monroe, GA 30655

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Other Names 1

Professional Name (2)Donald Spoon Np

Secondary Practice Location 1

Location 11001 Centerbrooke Ln Ste 100Suffolk, VA 23434-8663 · Phone (757) 702-8105 · Fax (757) 702-2186

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Craig Spoon Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082910062

PECOS Enrollment IDI20230822001362

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

75 services62 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

68 services67 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

53 services53 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

34 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

27 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD

OwnershipGovernment - Federal

CMS Certification Number430098

LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

51.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

16.77

Promoting Interoperability

Improvement Activities

Cost

46.59

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELINA RENEE SANDERS FNP

Nurse Practitioner (Family)