DR. JOHN V SPENCE (NPI# 1124034996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124034996 |
| Entity Type | Individual |
| Full Name | DR. JOHN V SPENCE |
| Credential | M.D. |
| Practice Address |
101 Harris Industrial Blvd Suite E Vidalia GA 30474-8852 |
| Practice Telephone | 7703096636 |
| Practice Fax Number | 9122772080 |
| Mailing Telephone | 9122772077 |
| Mailing Fax Number | 9122772080 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
55572 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 880364664A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073718755 | John William Spence | Acupuncturist | 2233 Stickney Point Rd, Sarasota, FL 34231-4014 | 2007-06-20 |
| 1407052152 | John Rexford Spence | Chiropractor | 1 Barney Rd, Ste. 108, Clifton Park, NY 12065-5843 | 2007-06-21 |
| 1821004565 | John Raymond Spence | Anesthesiology | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2006-08-01 |
| 1366467649 | John E Spence | Medical Genetics | 1001 Blythe Blvd., Medical Center Plaza, Suite 200, Charlotte, NC 28203-5865 | 2006-07-13 |
| 1497794796 | John A. Spence | Family Medicine | 4284 Kelson Ave, Marianna, FL 32446-2948 | 2006-06-05 |
| Street Address |
101 HARRIS INDUSTRIAL BLVD SUITE E |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-8852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093702540 | Hubert Mccrary Suber | Obstetrics & Gynecology | 101 Harris Industrial Blvd, Suite C, Vidalia, GA 30474-8852 | 2005-09-30 |
| 1538779624 | Taylor Alexandria Andre | Nurse Practitioner | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2020-08-04 |
| 1871064956 | Bailey Brooks | Physical Therapist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2018-12-16 |
| 1174003180 | Wilton Todd Carter | Massage Therapist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2018-08-19 |
| 1740678739 | Randall Terry Crawford Jr. | Nurse Practitioner | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | 2014-12-30 |
| 1346649613 | Carolyn Cabe | Nurse Practitioner | 101 Harris Industrial Blvd, Ste C, Vidalia, GA 30474-8852 | 2014-08-22 |
| 1720412265 | Mindy Shook Ellis | Specialist/Technologist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2013-08-31 |
| 1164747978 | Margaret Fairley Wood | Speech-Language Pathologist | 101 Harris Industrial Blvd, Vidalia, GA 30474-8852 | 2010-04-05 |
| 1740503440 | Southeast Regional Cardiac and Vascular Institute, LLC | Internal Medicine | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | 2010-03-09 |
| 1528224185 | Scott Orthopaedic and Spine Center LLC | Orthopaedic Surgery | 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | 2008-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224631 | Georgia Hyperbaric and Wound Consulting, LLC | Emergency Medicine | 101 Harris Industrial Blvd Ste 8, Vidalia, GA 30474-8852 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093985699 | Oxyoasis, LLC | Emergency Medicine | 1631 Atlanta Rd, Gainesville, GA 30504-5942 | 2008-03-11 |
| 1669427316 | Melanie L Cooper | Emergency Medicine | 578 S Enota Dr Ne Ste C, Gainesville, GA 30501-8947 | 2006-05-23 |
| 1164494720 | Thomas M Bozzuto | Emergency Medicine | 803 N Jefferson St, Ste A, Albany, GA 31701-2373 | 2006-02-07 |
| 1205370632 | Wound Care & Hyperbaric Center | Emergency Medicine | 6000 Hillandale Dr, Suite 150, Lithonia, GA 30058-4840 | 2016-12-03 |
| 1376992909 | Multispecialty Services, LLC | Emergency Medicine | 3950 Austell Rd, Austell, GA 30106-1121 | 2016-06-04 |
| 1760839674 | Wound Care & Hyperbaric Center | Emergency Medicine | 5700 Hillandale Dr, Bldg 2 Suite 2, Lithonia, GA 30058-4103 | 2016-05-20 |
| 1780061515 | Lithonia Woundcare Center | Emergency Medicine | 5700 Hillandale Dr, Ste 210, Lithonia, GA 30058-4103 | 2015-04-30 |
| 1396149076 | Coastal Medical Arts, LLC | Emergency Medicine | 103 E General Stewart Way, Suite B, Hinesville, GA 31313-2607 | 2014-10-09 |
| 1366727091 | Hypersphere | Emergency Medicine | 550 Peachtree St Ne, Suite 3300, Atlanta, GA 30308-2208 | 2011-10-13 |
| 1699904219 | Physicians Immediate Med of Johns Creek PC | Emergency Medicine | 2575 Peachtree Pkwy, Suite 100, Cumming, GA 30041-7559 | 2009-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.