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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: October 18, 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
Phone(229) 567-4414
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donica Spencer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany Area Primary Health Care, Inc.
16 mi
Federally Qualified Health Center (FQHC)
330 OLD HATLEY RD
Cordele, GA 31015
  • Reassigned Medicare billing, Georgia enrollment
  • 121 clinicians in this Medicare group
NPI 1699131920 (229) 947-6191
Phoebe Dorminy Family Care
23 mi
Clinic/Center
110 NORMAN DORMINY DR
Fitzgerald, GA 31750
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1992084644 (229) 312-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TERESA TRIPP FORD FNP
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414
HANNAH DUPRIEST TANNER
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414
TARAH WILSON NP-C
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414
ABBY CALHOUN FNP-C
Nurse Practitioner
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414
CARECONNECT HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414
EMILY BURFORD FNP
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414
ERIN E BABB FNP
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414
MRS. BARBARA A. FALLIN APRN-C
Nurse Practitioner (Family)
317 E WASHINGTON AVE
ASHBURN, GA 31714
Turner County (229) 567-4414

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.

Which organizations bill Medicare for Donica Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donica Spencer reassigns Medicare benefits to 2 organizations: Albany Area Primary Health Care, Inc. (Cordele, GA) and Phoebe Dorminy Family Care (Fitzgerald, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donica Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donica Spencer accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.