Organization
MARK SPIVEY ORTHOPEDIC CLINIC, LLC
Active
Other names
Mark Spivey Orthopedic Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M SPIVEY MD (OWNER)
(912) 537-4411
Entity
Organization
Contact information
Practice address
3301 E 1ST ST, STE A, VIDALIA, GA 30474-8674
(912) 537-4411
(912) 538-8485
Mailing address
3301 E 1ST ST STE A, VIDALIA, GA 30474-8674
(912) 537-4411
(912) 538-8485
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
047846
GA
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501468518E
—
GA
Enumeration date
08/07/2007
Last updated
06/04/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up