MRS. TARA ROBERTS SPIVEY (PA-C, MPAS) – Medical Physician Assistant, NPI 1982610150
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for MRS. TARA ROBERTS SPIVEY (PA-C, MPAS)
Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States
DOUGLAS, GA 315332220
Phone: (912) 384-6276
Fax: (912) 389-1618
Type: Location
1208 Ocilla Rd
Douglas, GA 315332220
Phone: (912) 384-6276
Fax: (912) 389-1618
Type: Location
1400 PETERSON AVE N STE C
DOUGLAS, GA 315332833
Phone: (912) 384-6276
Type: Location
Douglas, Maude Street, Johannesburg Ward 103, Sandton, City of Johannesburg Metropolitan Municipality, Gauteng, 2031, South Africa
DOUGLAS, GA 315342109
Phone: (912) 384-6276
Fax: (912) 389-1618
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2023-07-11 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($141).
Total Amount
$188
General + Research + Ownership
Payments
5
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $141 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $29 |
| Amgen Inc. | $18 |
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: 2006-01-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060119000085 | I | Physician Assistant | GA | 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 31533)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.