JERRY ALLEN JR. SPIVEY (M.D.) – Interventional Pain Medicine Physician, NPI 1538369343

JERRY ALLEN JR. SPIVEY (M.D.) is a healthcare provider. based in Greensboro, Georgia. specializing in INTERVENTIONAL PAIN MANAGEMENT, ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 065063 (GA). The NPI Number for JERRY ALLEN JR. SPIVEY (M.D.) is 1538369343

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JERRY ALLEN JR. SPIVEY (M.D.)
NPI
1538369343
Phone
(706) 433-0723
Address
1030 FOUNDERS ROW
Enumeration Date
19 July 2007
Last Update Date
2 February 2015

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7067823100
Graduation Year
2007 (19 years ago)
PAC ID
8123292802
Group Practice PAC ID
1052342854
Professional Enrollment ID
I20111115000078
Address ID
GA305255354CL162XXPTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

148 INTERVENTIONAL PAIN MANAGEMENT in GA

Provider Addresses for JERRY ALLEN JR. SPIVEY (M.D.)

  • 1030 FOUNDERS ROW

    GREENSBORO, GA 30642

    Phone: (706) 433-0723

    Fax: (706) 549-7558

    Type: Location

  • Box, 4, Κωλέττη, Exarcheia, Athens, Municipality of Athens, Regional Unit of Central Athens, Attica, 106 81, Greece

    ATHENS, GA 306080883

    Phone: (706) 549-8114

    Fax: (706) 549-7558

    Type: Mailing

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 $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Nevro Corp. ($110).

Total Amount

$170

General + Research + Ownership

Payments

2

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2011-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (924 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20111115000078IInterventional Pain ManagementGA2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 30642)

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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: 1052342854View full group profile
NameSpecialtyState
Emergency MedicineSC
Nurse PractitionerGA
O T O L A R Y N G O L O G YGA
Nurse PractitionerSC
Emergency MedicineFL
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
Emergency MedicineGA

Reviews

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Frequently asked questions

Can I cross-check JERRY ALLEN JR. SPIVEY (M.D.) using NPI 1538369343?
NPI 1538369343 belongs to JERRY ALLEN JR. SPIVEY (M.D.); compare other details if you need extra assurance.
Would JERRY ALLEN JR. SPIVEY (M.D.) appear as active to a payer?
You can treat JERRY ALLEN JR. SPIVEY (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JERRY ALLEN JR. SPIVEY (M.D.)'s focus?
For JERRY ALLEN JR. SPIVEY (M.D.), the primary taxonomy reads as Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JERRY ALLEN JR. SPIVEY (M.D.) associated with Greensboro?
Public fields place JERRY ALLEN JR. SPIVEY (M.D.) around Greensboro, Georgia. Always confirm the exact site before visiting.
Does JERRY ALLEN JR. SPIVEY (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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