ROY A SPENCE (NPI# 1679528475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679528475 |
| Entity Type | Individual |
| Full Name | ROY A SPENCE |
| Credential | PAAA |
| Practice Address |
2701 N. Decatur Rd Decatur GA 30033-0000 |
| Mailing Address |
Po Box 551420 Fort Lauderdale FL 33355-1420 |
| Practice Telephone | 6785141991 |
| Practice Fax Number | 6785141992 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548392569 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 002181 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100001543A | 05 | |
| GA | NPI | 1679528475 | 01 |
| GA | 100000551B | 05 | |
| GA | GROUP NPI | 1982637419 | 01 |
| Street Address |
2701 N. DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215981840 | Suzana Anic | Anesthesiology | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2006-05-19 |
| 1346405453 | Marc E Hinckley | Anesthesiologist Assistant | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2008-07-29 |
| 1962665992 | Tonya Dang | Anesthesiologist Assistant | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2008-07-09 |
| 1942463468 | William M Driscoll | Anesthesiologist Assistant | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2008-07-03 |
| 1134138746 | Bradley C Phoenix | Anesthesiology | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2006-08-05 |
| 1316978646 | Weirong C Ding | Anesthesiology | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2006-07-05 |
| 1386670388 | Olusegun Salami | Anesthesiology | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2006-06-23 |
| 1053358838 | Andrew E Beeson | Anesthesiologist Assistant | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2006-06-01 |
| 1477500379 | Gretchen L Karst | Nurse Anesthetist, Certified Registered | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639547888 | Stephen Feldman | Anesthesiologist Assistant | 2279 Vistamont Dr, Decatur, GA 30033-4703 | 2015-09-04 |
| 1689169807 | Musi Norbert Nde | Anesthesiologist Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2018-06-29 |
| 1952701575 | Jason Brinson | Anesthesiologist Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2014-09-02 |
| 1073913653 | Bethany Buice | Anesthesiologist Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2014-09-02 |
| 1235563230 | Emily Yarbrough Moore | Anesthesiologist Assistant | 2701 N. Decatur Rd., Decatur, GA 30033-5918 | 2013-08-26 |
| 1346557949 | Jason T Nelson | Anesthesiologist Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2010-09-03 |
| 1962652446 | Rekha Pagadala | Anesthesiologist Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2008-09-22 |
| 1346405453 | Marc E Hinckley | Anesthesiologist Assistant | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2008-07-29 |
| 1962665992 | Tonya Dang | Anesthesiologist Assistant | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2008-07-09 |
| 1942463468 | William M Driscoll | Anesthesiologist Assistant | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2008-07-03 |
| Find all providers in DECATUR | ||||
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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.