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JENNIFER SPIVEY
NPI 1447641048
Nurse Practitioner - Family in Douglas, GA

Active since February 18, 2015PECOS Enrolled
326 SHIRLEY AVENUE, DOUGLAS, GA 31533(912) 384-0322(912) 260-1086 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Spivey NPPES

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

JENNIFER SPIVEY (NPI 1447641048) is an individual family provider in Douglas, Georgia, licensed in Georgia (RN138202) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447641048
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER SPIVEY
Location Address326 SHIRLEY AVENUEDouglas, GA 31533
Mailing Address326 Shirley AveDouglas, GA 31533-2332 · (912) 384-0322 · Fax (912) 260-1086
Phone(912) 384-0322
Fax(912) 260-1086
Sole ProprietorNo
Enumeration DateFebruary 18, 2015
Last NPPES UpdateMay 4, 2017
✔ NPI 1447641048 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 · RN138202
326 SHIRLEY AVENUE, Douglas, GA 31533
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Spivey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jennifer Spivey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Douglas Vascular Center, LLC
Same address
Medical Specialty
326 SHIRLEY AVE
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1619244555 (727) 474-0090
Douglas Internal Medicine P.C.
0.4 mi
Internal Medicine
306 WESTSIDE DR
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Douglas Internal Medicine PC
  • 10 clinicians in this Medicare group
NPI 1275542953 (912) 389-8610

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 31533 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.

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 Jennifer Spivey's NPI number?

The NPI number for Jennifer Spivey is 1447641048. It was assigned to this individual provider in the NPPES registry on February 18, 2015.

Where is Jennifer Spivey located?

Jennifer Spivey practices at 326 Shirley Avenue, Douglas, GA 31533. The listed phone number is (912) 384-0322.

What is Jennifer Spivey's specialty?

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

Is Jennifer Spivey enrolled in Medicare?

Yes. Jennifer Spivey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Spivey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Spivey reassigns Medicare benefits to 2 organizations: Douglas Vascular Center, LLC (Douglas, GA) and Douglas Internal Medicine P.C. (Douglas, 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 Jennifer Spivey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Spivey was last updated on May 4, 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.