Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Spivey Orthopedic Clinic, LLC

Organization Orthopaedic Surgery Physician · NPI 1104017821

Mark Spivey Orthopedic Clinic, LLC is an Orthopaedic Surgery Physician in Vidalia, Georgia. Works from 5 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3301 E 1st St Ste A
Vidalia, GA 30474-8674
Phone: (912) 537-4411
Fax: (912) 538-8485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 242 Industrial Blvd, Dublin, GA 31021-2904 — (478) 272-3140
  • 15 Yarbrough St, Hazlehurst, GA 31539-6341 — (912) 537-4411
  • 601 Ferncrest Dr, Sandersville, GA 31082-1800 — (912) 537-4411
  • 305 Kite Rd, Swainsboro, GA 30401-5771 — (912) 537-4411

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 047846 (GA)
Orthopaedic Surgery Physician Taxonomy 207X00000X (GA)

Record details

NPI number1104017821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Spivey — Owner · (912) 537-4411
Other names Mark Spivey Orthopedic Clinic, Llc
NPI enumeratedAugust 7, 2007
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address3301 E 1st St Ste A, Vidalia, GA 30474-8674

Other providers in Vidalia