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

Spencer Smith, PA

Individual provider Medical Physician Assistant · NPI 1679050611

Spencer Smith, PA is a Physician Assistant in Fleming Island, Florida. Qualified in 2018, 8 years ago. Practices with Family Care Partners of Northeast Florida LLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
2
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

4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822
Phone: (904) 269-4559
Fax: (904) 269-4597
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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 PA9120420 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9120420 (FL)

Record details

NPI number1679050611
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address425 W Colonial Dr Ste 303, Orlando, FL 32804-6863

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Care Partners Of Northeast Florida Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fleming Island