JACK C. SPENCER MD – NPI #1255398350
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
JACK SPENCER is a physician located in CHARLESTON, SC. NPPES has assigned the NPI number 1255398350 to JACK SPENCER on May 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 8 years ago on Oct 02, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK SPENCER below.
NPI Profile for
JACK C. SPENCER
(more than 20 years ago)
CHARLESTON, SC 29424 Phone: (843) 953-5520 Fax:
1 Other location(s):
Charleston, SC 29424
Phone: (843) 953-5520
Identifiers for JACK SPENCER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | SC | 221637 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
SC | 22163 |
| 207Q00000X - Family Medicine |
SC | MD22163 |
| 207P00000X - Emergency Medicine |
SC | 22163 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.