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Mark Spivey Orthopedic Clinic, LLC

Orthopaedic Surgery Physician in Vidalia, GA · enumerated 2007 · authorized official Charles Spivey, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104017821

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Registry record

Entity type Organization (Type 2)
Legal business name Mark Spivey Orthopedic Clinic, LLC
Other name <Unavail>
Practice address 3301 E 1st St, Ste A, Vidalia, GA, 30474
Phone (912) 537-4411
Fax (912) 538-8485
Enumeration date Aug 7, 2007
Last updated in NPPES Jun 4, 2026

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 047846 (GA) Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Charles Spivey
Title Owner
Phone (912) 537-4411

Other identifiers

Identifier Type State Issuer
501468518E Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-04. Verify at npiregistry.cms.hhs.gov.
Where is Mark Spivey Orthopedic Clinic, LLC located?
The practice location on file with NPPES is in Vidalia, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-04.