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Export Provider Record NPI 1063475200
Sara Carter SpencerPA-C
Active
NPI Number1063475200
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1063475200
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-10
Last Updated2023-12-19
Mailing AddressPo Box 60447
Charlotte, NC 28260-0447
United States
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Primary Practice Address6161 Lake Brandt Rd Unit B
Greensboro, NC 27455-8415
United States
Phone: (336) 643-5800 | Fax: (336) 643-7474
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantNC103072
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About NPI 1063475200

Sara Carter Spencer PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063475200. The primary specialty listed is Physician Assistant. The provider is located in Greensboro, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063475200?

NPI 1063475200 belongs to Sara Carter Spencer PA-C, a Physician Assistant in Greensboro, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063475200 active?

The current status of NPI 1063475200 in the NPPES registry is Active. The record was last updated on 2023-12-19.

What specialty is NPI 1063475200?

NPI 1063475200 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063475200?

You can verify NPI 1063475200 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063475200?

The primary practice address on file for NPI 1063475200 is 6161 Lake Brandt Rd Unit B, Greensboro, NC 27455-8415. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063475200 issued?

NPI 1063475200 was first issued (enumerated) on 2006-04-10. The NPPES record was last updated on 2023-12-19.

Practice Location Map

Sara Carter Spencer is located at 6161 Lake Brandt Rd Unit B, Greensboro, NC. Use the map below to find directions or verify the practice location.

📍 6161 Lake Brandt Rd Unit B, Greensboro, NC 27455-8415  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sara Carter Spencer. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063475200. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant103072NC
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162