Provider Demographics
NPI:1043453632
Name:SPIRES, STEVEN SCHAEFFER (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:SCHAEFFER
Last Name:SPIRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 LAUREL SPRINGS PKWY STE 1404
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6098
Mailing Address - Country:US
Mailing Address - Phone:678-347-2153
Mailing Address - Fax:678-680-5147
Practice Address - Street 1:1270 PRINCE AVE STE 301
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2783
Practice Address - Country:US
Practice Address - Phone:770-670-7245
Practice Address - Fax:706-612-1314
Is Sole Proprietor?:No
Enumeration Date:2009-04-12
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48091207RI0200X, 208M00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100209290Medicaid
TN1528754Medicaid
TN4329461OtherBLUECROSS BLUESHIELD
TN4329461OtherBLUECROSS BLUESHIELD