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Active NPI 1679050611 Individual Practitioner Male Practitioner

Spencer Smith , PA

Physician Assistant • Fleming Island, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Spencer Smith, PA is a certified Physician Assistant practicing in Fleming Island, FL. With approximately 8 years of clinical experience since completing medical education in 2018, Spencer Smith delivers high-quality medical care to the local community at 4565 US HIGHWAY 17 STE 106.

Spencer Smith is affiliated with Family Care Partners Of Northeast Florida Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4565 Us Highway 17 Ste 106

Fleming Island, FL 320034822

Telephone 9042694559
Fax 9042694597
Associated Practice Facility / Clinic
🏢 Cognitive Care Pa Facility NPI 1659747749

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fleming Island, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs +0.9 yrs vs City Avg
City Avg: 7.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Fleming Island, FL (10376 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (8 Years) 8 Yrs
Fleming Island Specialty Average (7.1 Years) 7.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 21 $201.00 $73.22

Medical Specialties & State Licenses

CMS Verified: 2025-08-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9120420

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PA9120420

Definition to come...

Hospital & Practice Group Affiliations

Family Care Partners Of Northeast Florida Llc

1215 Dunn Ave, Jacksonville, FL 322186330

Phone: 9047571998

Family Care Partners Of Northeast Florida Llc

4565 Us Hwy 17, Fleming Island, FL 320034822

Phone: 9042694559

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Ali Afshar , MD

Family Medicine

NPI 1083901177

Doctor of Medicine (M.D.)

Dr. Christopher Rossilli , PsyD

Clinical Neuropsychologist

NPI 1124313879

Doctor of Psychology (Psy.D.)

NPI 1154389112

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles House , MD

Family Medicine

NPI 1194854539

Doctor of Medicine (M.D.)

Stephanie Collins

Physician Assistant

NPI 1487402616
NPI 1487621736

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 25, 2025

Registered at 4565 US HIGHWAY 17 STE 106, FLEMING ISLAND, FL 320034822 (Tel: 9042694559)

📍
Updated Business Mailing Address August 25, 2025

Registered at 425 W COLONIAL DR STE 303, ORLANDO, FL 328046863 (Tel: 8337028383)

👤
Provider Name / Credentials Updated August 25, 2025

Recorded as SPENCER SMITH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Physician Assistant (License #PA9120420 in FL)

📍
Updated Practice Location February 18, 2022

Registered at 305 1ST ST E, CONOVER, NC 286131715 (Tel: 8284643821)

📍
Updated Business Mailing Address February 18, 2022

Registered at 100 KIMEL FOREST DR, WINSTON SALEM, NC 271036074 (Tel: 3367161331)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2022

Physician Assistant (License #0010-08225 in NC)

NPI Profile Active July 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2018

Registered at 711 FAIRGROVE CHURCH RD SE, CONOVER, NC 286138680 (Tel: 8288553636)

📍
Updated Business Mailing Address July 23, 2018

Registered at 711 FAIRGROVE CHURCH RD SE, CONOVER, NC 286138680 (Tel: 8288553636)

👤
Provider Name / Credentials Updated July 23, 2018

Recorded as SPENCER SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2018

Internal Medicine (License #001008225 in NC)

🟢
Initial NPI Registration & Enumeration July 23, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679050611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2018
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

425 W Colonial Dr Ste 303

Orlando, FL 328046863

Phone: 8337028383

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.