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

Individual provider Physician Assistant · NPI 1679536296

Spencer E Simon, PA is a Physician Assistant in Raleigh, North Carolina. Qualified in 1993, 33 years ago. Practices with Beautifiul Mind Behavioral Health Services PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
33
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 247-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101822 (NC)

Record details

NPI number1679536296
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESMay 6, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Beautifiul Mind Behavioral Health Services Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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