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

Mrs. Tara Roberts Spivey, PA-C, MPAS

Individual provider Medical Physician Assistant · NPI 1982610150

Mrs. Tara Roberts Spivey, PA-C, MPAS is a Medical Physician Assistant in Douglas, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1400 Peterson Ave N Ste C
Douglas, GA 31533-2833
Phone: (912) 384-6276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1208 Ocilla Rd, Douglas, GA 31533-2220 — (912) 384-6276

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 003767 (GA)

Record details

NPI number1982610150
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

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