Individual ProviderBeverly J SpiveyFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1314 Medical Dr, Suite 102, Fayetteville, NC 28304-4442(910) 323-2503(919) 477-5152PECOS EnrollmentBased on the most recent information from CMS, provider Beverly J Spivey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1417923087Provider TypeIndividualFull NameSpivey, Beverly JCredentialMDGenderFemaleSole ProprietorYesEnumeration Date2/24/2006Last Updated6/13/2013Contact InformationPractice LocationPractice Address1314 Medical Dr, Suite 102, Fayetteville, NC 28304-4442Phone(910) 323-2503Fax(910) 323-4260Mailing LocationMailing AddressPO Box 15133, Durham, NC 27704-0133Phone(919) 477-5152Fax(919) 477-5474Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense25957North CarolinaProvider IdentifiersIDDescriptionIssuerID78945DescriptionOtherIssuerBLUE CROSSNorth CarolinaID8978945DescriptionMedicaidIssuerUnlistedNorth Carolina