Mrs Tara Roberts Spivey, PA-C, MPAS in Douglas, GA

Mrs Tara Roberts Spivey, PA-C, MPAS is a medicare enrolled "Physician Assistant - Medical" in Douglas, Georgia. Her current practice location is 1400 Peterson Ave N Ste C, Douglas, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 384-6276.

Mrs Tara Roberts Spivey is licensed to practice in Georgia (license number 003767) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982610150.

Contact Information

	Mrs Tara Roberts Spivey, PA-C, MPAS
	1400 Peterson Ave N Ste C, Douglas, GA 31533-2833
	(912) 384-6276
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tara Roberts Spivey
Gender	Female
Speciality	Physician Assistant - Medical
Location	1400 Peterson Ave N Ste C, Douglas, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982610150
Provider Enumeration Date: 07/31/2006
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5799709648
Enrollment ID: I20060119000085

Medical Identifiers

Medical identifiers for Mrs Tara Roberts Spivey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982610150	NPI	-	NPPES
791479760A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	003767 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Roberts Spivey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tara Roberts Spivey, PA-C, MPAS Po Box 2109, Douglas, GA 31534-2109 Ph: (912) 384-6276	Mrs Tara Roberts Spivey, PA-C, MPAS 1400 Peterson Ave N Ste C, Douglas, GA 31533-2833 Ph: (912) 384-6276

Reviews and Comments

Physician Assistant Nurses in Douglas, GA

Karen Michelle Green, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-383-6966 Fax: 912-389-2108
Caroline Lott Douglas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-260-5400 Fax: 912-260-5177
Mrs. Kimberly Lott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste G, Douglas, GA 31533 Phone: 912-384-6186 Fax: 912-384-6187
Miss Alexis Marie Mcneill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 312 Westside Dr, Douglas, GA 31533 Phone: 912-384-2200 Fax: 912-383-7992
Hallie S. Brigmond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 Fax: 912-389-2105
Mary Jon Roberson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste I, Douglas, GA 31533 Phone: 912-383-6575
Amy Delaine Hodge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 326 Shirley Ave, Douglas, GA 31533 Phone: 912-384-0322 Fax: 912-260-1086

Mrs Tara Roberts Spivey, PA-C, MPAS - Medicare Physician Assistant in Douglas, GA