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SPENCER FAMILY MEDICINE, PC
NPI 1558748244
Clinic/Center in Cartersville, GA

Active since May 01, 2015CLIA 11D2098225 · Waiver
650 HENDERSON DR STE 504, CARTERSVILLE, GA 30120(770) 607-9032(770) 607-9035 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 17, 2018, Nov 24, 2015 and 1 more (4 updates tracked since 2015).

About Spencer Family Medicine, Pc NPPES

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

SPENCER FAMILY MEDICINE, PC (NPI 1558748244) is a healthcare organization registered as a clinic/center in Cartersville, Georgia and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Louis Andre Spencer, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1558748244
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPENCER FAMILY MEDICINE, PC
Location Address650 HENDERSON DR STE 504Cartersville, GA 30120-3760
Mailing Address650 Henderson Drive, Suite 504Cartersville, GA 30120-3744 · (770) 607-9032 · Fax (770) 607-9035
Phone(770) 607-9032
Fax(770) 607-9035
Organization SubpartNo
Authorized OfficialLouis Andre SpencerMedical Doctor · (770) 607-9032
Enumeration DateMay 1, 2015
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1558748244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
650 HENDERSON DR STE 504, Cartersville, GA 30120
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Other Identifiers 1

Other1558748244GA · Ein

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Family Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spencer Family Medicine, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Louis Spencer, M.D.
Internal Medicine
NPI 1669642484
650 HENDERSON DRIVE SUITE 504
Cartersville, GA 30120
(770) 607-9032
✔ PECOS✔ Accepts MedicareSame address
Heather Czarnecke, FNP-C
Nurse Practitioner
NPI 1780140269
1414 DUG GAP RD
Dalton, GA 30720
(706) 279-0405
✔ PECOS43 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2098225

Spencer Family Medicine · Cartersville, GA
Active · expires Jul 1, 2027
CLIA Number11D2098225
Laboratory TypePharmacy
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorLouis Spencer
Laboratory Phone(770) 607-9032
Laboratory LocationSpencer Family Medicine650 Henderson Dr, Ste 504, Cartersville, GA 30120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Spencer Family Medicine, PC's NPI number?

The NPI number for Spencer Family Medicine, PC is 1558748244. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Spencer Family Medicine, PC located?

Spencer Family Medicine, PC is located at 650 Henderson Dr Ste 504, Cartersville, GA 30120. The listed phone number is (770) 607-9032.

What is Spencer Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Spencer Family Medicine, PC enrolled in Medicare?

Yes. Spencer Family Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spencer Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Spencer Family Medicine, PC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spencer Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2098225) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spencer Family Medicine, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Spencer Family Medicine, PC 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 Spencer Family Medicine, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.