JASON CHAUNCEY SPENCER (PA-C) – Physician Assistant, NPI 1700995354
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for JASON CHAUNCEY SPENCER (PA-C)
28 YACHTSMEN COURT
WOODBINE, GA 31569
Phone: (912) 541-0243
Type: Mailing
Perimeter Park Boulevard, Jacksonville, Duval County, Florida, 33216, United States
JACKSONVILLE, FL 322166397
Phone: (904) 621-6628
Fax: (904) 346-0113
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040227000464 | I | Physician Assistant | GA | TBD |
| I20051210000029 | I | Physician Assistant | FL | TBD |
| I20200312001083 | I | Physician Assistant | NY | TBD |
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.
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 31569)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | GA | |
| - | GA | |
| Family Practice, Emergency Medicine | GA | |
| Family Practice, Emergency Medicine | GA | |
| Family Practice | GA | |
| Emergency Medicine | GA | |
| Family Practice, Emergency Medicine | GA | |
| Internal Medicine, Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine, Orthopedic Surgery | GA |
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