NPI age
18 years
Enumerated 2007-08-07
● Active Type 2 · Organization
Mark Spivey Orthopedic Clinic, Llc
Mark Spivey Orthopedic Clinic, Llc is 1 of 1151 orthopaedic surgery organizations in Georgia.
Primary specialty
Orthopaedic Surgery
Practice locations
5
4 secondary on file
Status
Active
No deactivations on record
Authorized official
Spivey
Owner
Last NPPES update
2025-03-14
Source: monthly bulk 2026-05
How this organization compares
Across 1151 active orthopaedic surgery providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
5
4 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3301 E 1st St, Ste A
Vidalia, GA 304748674
Mailing address
3301 E 1st St, Ste A
Vidalia, GA 304748674
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
242 Industrial Blvd
Dublin, GA 310212904
Location 3
604 E Long St
Claxton, GA 304175914
Location 4
15 Yarbrough St
Hazlehurst, GA 315396341
Location 5
601 Ferncrest Dr
Sandersville, GA 310821800
Authorized official
Charles M Spivey, MD
Owner
📞 9125374411
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Richard Proenza, PA-C Physician Assistant NPI 1982693024
- Christian Ray, PT, DPT, CSCS Physical Therapist NPI 1538010038
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 501468518E |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mark Spivey Orthopedic Clinic, LLC
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 4 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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