HUNTTER OLLIE, EUGENE SPENCER
NPI 1861295628
Physician Assistant - Surgical in Johnson City, TN

Active since March 28, 2025PECOS EnrolledAccepts Medicare Assignment
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604(423) 431-2460 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Huntter Ollie, Eugene Spencer NPPES

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

HUNTTER OLLIE, EUGENE SPENCER (NPI 1861295628) is an individual surgical provider in Johnson City, Tennessee, licensed in Tennessee (6617) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1861295628
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameHUNTTER OLLIE, EUGENE SPENCER
Location Address410 N STATE OF FRANKLIN RD STE 130Johnson City, TN 37604-6972
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 28, 2025
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1861295628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TN · 6617
Also ListedPhysician AssistantTaxonomy 363A00000X · License 6617 (TN)

Secondary Practice Location 1

Location 1133 Boone Ridge Dr Apt 169Johnson City, TN 37615-5023 · Phone (662) 288-0224

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

Huntter Ollie, Eugene 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 ID8426550070
PECOS Enrollment IDI20250904001514
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.

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

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

Plastic Surgery
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant (Medical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604

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 Huntter Spencer's NPI number?

The NPI number for Huntter Spencer is 1861295628. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Huntter Spencer located?

Huntter Spencer practices at 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604. The listed phone number is (423) 431-2460.

What is Huntter Spencer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Huntter Spencer enrolled in Medicare?

Yes. Huntter 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.

Is Huntter Spencer affiliated with any hospitals?

According to CMS data, Huntter Spencer is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Huntter Spencer was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.