SARAH MARIE SPENCE NP
NPI 1093209199
Nurse Practitioner - Adult Health in Atlanta, GA

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342(404) 778-4898 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sarah Marie Spence Np NPPES

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

SARAH MARIE SPENCE NP (NPI 1093209199) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (RN236678) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093209199
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSARAH MARIE SPENCECredential: NP
Location Address5665 PEACHTREE DUNWOODY RDAtlanta, GA 30342-1764
Mailing Address3940 Riverlook Pkwy Se Unit 103Marietta, GA 30067-4516 · (404) 542-4742
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2018
NPI 1093209199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN236678
5665 PEACHTREE DUNWOODY RD, Atlanta, GA 30342

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

Sarah Marie Spence Np 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 ID9436494689
PECOS Enrollment IDI20181217003253
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
217 services177 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services103 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
70 services56 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
61 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Critical Care Medicine)
5665 PEACHTREE DUNWOODY RD, SUITE 200
ATLANTA, GA 30342
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5665 PEACHTREE DUNWOODY RD, SUITE 200
ATLANTA, GA 30342
Physician Assistant (Medical)
5665 PEACHTREE DUNWOODY RD, CRITICAL CARE DEPARTMENT
ATLANTA, GA 30342
General Acute Care Hospital
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Internal Medicine (Hematology)
5665 PEACHTREE DUNWOODY RD, SUITE 150
ATLANTA, GA 30342
Nurse Anesthetist, Certified Registered
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Radiology (Diagnostic Radiology)
5665 PEACHTREE DUNWOODY RD, DEPARTMENT OF RADIOLOGY
ATLANTA, GA 30342
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5665 PEACHTREE DUNWOODY RD, SUITE 200
ATLANTA, GA 30342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Spence's NPI number?

The NPI number for Sarah Spence is 1093209199. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Sarah Spence located?

Sarah Spence practices at 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342. The listed phone number is (404) 778-4898.

What is Sarah Spence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sarah Spence enrolled in Medicare?

Yes. Sarah Spence is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sarah Spence affiliated with any hospitals?

According to CMS data, Sarah Spence is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Spence was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.