Dennis R Spencer Jr. (NPI# 1386723310, PAC ID# 8325048895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1386723310 |
| PAC ID by PECOS | 8325048895 |
| Professional Enrollment ID | I20070106000016 |
| Full Name | Dennis R Spencer Jr. |
| Organization Legal Name | SOUTHERN EMERGENCY PHYSICIANS LLP |
| Address |
1740 Lions Club Rd Madison GA 30650-4762 |
| Phone Number | 7063421667 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialties | EMERGENCY MEDICINE, GENERAL PRACTICE |
| Group Practice PAC ID | 6406992064 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111304 | MORGAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1740 Lions Club Rd, Madison, GA 30650-4762 | 7063421667 | SOUTHERN EMERGENCY PHYSICIANS LLP |
| Organization Legal Name | SOUTHERN EMERGENCY PHYSICIANS LLP |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica V Rhymes | Nurse Practitioner | Southern Emergency Physicians LLP | 1077 S Main St, Madison, GA 30650-2073 |
| Rakesh R Shah | Internal Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Thang Xuan Nguyen | Family Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Sara Cannington | Nurse Practitioner | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Kirk T Brown | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Jin Yang | Internal Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Billy Yu-ping Chiou | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Anil Kumar Chhabra | Pediatric Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Street Address |
1740 LIONS CLUB RD |
| City | MADISON |
| State | GA |
| Zip | 30650-4762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rakesh R Shah | Internal Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Thang Xuan Nguyen | Family Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Sara Cannington | Nurse Practitioner | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Kirk T Brown | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Jin Yang | Internal Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Billy Yu-ping Chiou | Emergency Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Anil Kumar Chhabra | Pediatric Medicine | Southern Emergency Physicians LLP | 1740 Lions Club Rd, Madison, GA 30650-4762 |
| Robert Pepper | Family Medicine | 1740 Lions Club Rd, Fl 2, Madison, GA 30650-4762 | |
| Gary Richard Walton | Urology | Athens Area Urology PC | 1740 Lions Club Rd, Suite 200, Madison, GA 30650-4762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Tennant | Optometry | 223 S Main St, Madison, GA 30650-1351 | |
| Vanessa P Triplett | Chiropractic | 255 N Main St, Suite C, Madison, GA 30650-1390 | |
| Vince Campbell | Chiropractic | Family Chiropractors, PC | 1163 Eatonton Rd, Madison, GA 30650-2026 |
| Elise Faust | Chiropractic | Family Chiropractors, PC | 1163 Eatonton Rd, Madison, GA 30650-2026 |
| Karen Khalil | Nurse Practitioner | Morgan County Georgia Hospital Authority | 1075 S Main St, Suite 100, Madison, GA 30650-2034 |
| Miguel E Cossio | Internal Medicine | 1075 S Main St, Suite 400, Madison, GA 30650-2050 | |
| Pamela G Hall | Family Medicine | 2002 S Main St, Madison, GA 30650-2054 | |
| Walter Daniel Zant | Family Medicine | 2002 S Main St, Madison, GA 30650-2054 | |
| Leah Malcom Ainslie | Nurse Practitioner | 2005 S Main St, Suite 200, Madison, GA 30650-2055 | |
| Monica V Rhymes | Nurse Practitioner | Southern Emergency Physicians LLP | 1077 S Main St, Madison, GA 30650-2073 |
| Find all physicians in zip 30650 | |||
| City | MADISON |
| Zip Code | 30650 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MADISON + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.