DONICA SPENCER
NPI 1265972954
Nurse Practitioner - Family in Ashburn, GA

Active since March 01, 2017PECOS EnrolledAccepts Medicare Assignment
317 E WASHINGTON AVE, ASHBURN, GA 31714(229) 567-4414(229) 567-4419 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donica Spencer NPPES

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

DONICA SPENCER (NPI 1265972954) is an individual family provider in Ashburn, Georgia, licensed in Georgia (159916) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265972954
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONICA SPENCER
Location Address317 E WASHINGTON AVEAshburn, GA 31714-5248
Mailing Address317 East Washinton AveAshburn, GA 31714-4322 · (229) 869-4155
Fax(229) 567-4419
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 1, 2017
NPI 1265972954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 159916
317 E WASHINGTON AVE, Ashburn, GA 31714

Accepted Insurance

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

Donica Spencer 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 ID2163707456
PECOS Enrollment IDI20170329001427
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31714 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Nurse Practitioner
317 E WASHINGTON AVE
ASHBURN, GA 31714
Clinic/Center (Federally Qualified Health Center (FQHC))
317 E WASHINGTON AVE
ASHBURN, GA 31714
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714

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 Donica Spencer's NPI number?

The NPI number for Donica Spencer is 1265972954. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Where is Donica Spencer located?

Donica Spencer practices at 317 E Washington Ave, Ashburn, GA 31714. The listed phone number is (229) 567-4414.

What is Donica Spencer's specialty?

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

Is Donica Spencer enrolled in Medicare?

Yes. Donica Spencer 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.

What insurance does Donica Spencer accept?

Health plans from Alliant Health Plans, Inc. list Donica Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donica Spencer was last updated on March 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.