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MRS. TARA ROBERTS SPIVEY PA-C, MPAS
NPI 1982610150
Physician Assistant - Medical in Douglas, GA

Active since July 31, 2006PECOS Enrolled
1400 PETERSON AVE N STE C, DOUGLAS, GA 31533(912) 384-6276 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tara Roberts Spivey Pa-c, Mpas NPPES

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

MRS. TARA ROBERTS SPIVEY PA-C, MPAS (NPI 1982610150) is an individual medical provider in Douglas, Georgia, licensed in Georgia (003767) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Douglas.

NPPES Registry Identity

NPI1982610150
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. TARA ROBERTS SPIVEYCredential: PA-C, MPAS
Location Address1400 PETERSON AVE N STE CDouglas, GA 31533-2833
Mailing AddressPo Box 2109Douglas, GA 31534-2109 · (912) 384-6276 · Fax (912) 389-1618
Phone(912) 384-6276
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1982610150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 003767
1400 PETERSON AVE N STE C, Douglas, GA 31533
Open in Google Maps ↗

Secondary Practice Location 1

Location 11208 Ocilla RdDouglas, GA 31533-2220 · Phone (912) 384-6276 · Fax (912) 389-1618

Other Identifiers 1

Medicaid791479760AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tara Roberts Spivey Pa-c, Mpas 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.

Other Providers at the Same Location NPPES

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

DR. ROBERT DARRELL COLLINS D.O.
Internal Medicine (Cardiovascular Disease)
1400 PETERSON AVE N STE C
DOUGLAS, GA 31533
Coffee County (912) 384-6276

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 Tara Spivey's NPI number?

The NPI number for Tara Spivey is 1982610150. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Tara Spivey located?

Tara Spivey practices at 1400 Peterson Ave N Ste C, Douglas, GA 31533. The listed phone number is (912) 384-6276.

What is Tara Spivey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tara Spivey enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Spivey was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.