JENNIFER SPIVEY – Family Nurse Practitioner, NPI 1447641048

JENNIFER SPIVEY is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN138202 (GA). The NPI Number for JENNIFER SPIVEY is 1447641048

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SPIVEY
NPI
1447641048
Phone
(912) 384-0322
Address
326 SHIRLEY AVE
Enumeration Date
18 February 2015
Last Update Date
4 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123840322
Graduation Year
2014 (12 years ago)
PAC ID
1153642335
Group Practice PAC ID
1850568361
Professional Enrollment ID
I20150601001471
Address ID
GA315332332DO326XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for JENNIFER SPIVEY

  • 326 SHIRLEY AVE

    DOUGLAS, GA 315332332

    Phone: (912) 384-0322

    Fax: (912) 260-1086

    Type: Mailing

  • 326 SHIRLEY AVENUE

    DOUGLAS, GA 31533

    Phone: (912) 384-0322

    Fax: (912) 260-1086

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Medtronic, Inc. ($69).

Total Amount

$69

General + Research + Ownership

Payments

2

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$69
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150601001471INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31533)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850568361View full group profile
NameSpecialtyState
Physician AssistantGA
General Surgery, Vascular SurgeryGA
Physician AssistantGA

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER SPIVEY?
The federal identifier for JENNIFER SPIVEY is NPI 1447641048.
Is JENNIFER SPIVEY active in the national directory?
JENNIFER SPIVEY's public NPI profile is in an active state.
Does JENNIFER SPIVEY list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JENNIFER SPIVEY. Clinical services aligned with this taxonomy classification.
Where is JENNIFER SPIVEY's primary listing?
We display Douglas, Georgia because that is what the record indicates for JENNIFER SPIVEY.
Is JENNIFER SPIVEY a real provider?
This page reflects official NPPES data for NPI 1447641048. Always confirm identity and privileges with the practice and licensing boards.

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