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SPEARS MEDICAL CLINIC PLLC
NPI 1003497751
Nurse Practitioner - Family in Summit, MS

Active since April 15, 2021CLIA 25D2228984 · Waiver
804 ROBB ST, SUMMIT, MS 39666(601) 608-0900(601) 600-2171 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2021, Apr 15, 2021 (2 updates tracked since 2021).

About Spears Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPEARS MEDICAL CLINIC PLLC (NPI 1003497751) is a healthcare organization registered as a family in Summit, Mississippi and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Damon Scott Spears, Owner, as its authorized official.

NPPES Registry Identity

NPI1003497751
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSPEARS MEDICAL CLINIC PLLC
Location Address804 ROBB STSummit, MS 39666-8291
Mailing AddressPo Box 54Summit, MS 39666-0054 · (601) 608-0900 · Fax (601) 600-2171
Phone(601) 608-0900
Fax(601) 600-2171
Organization SubpartNo
Authorized OfficialDamon Scott SpearsOwner · (601) 600-6522
Enumeration DateApril 15, 2021
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1003497751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
804 ROBB ST, Summit, MS 39666
Open in Google Maps ↗

Other Identifiers 2

Medicaid08751030MS
Other1679628697MS · Nppes Npi Registry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2228984

Spears Medical Clinic LLC · Summit, MS
Active · expires Jul 5, 2027
CLIA Number25D2228984
Laboratory TypePractitioner Other
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorDamon Spears
Laboratory Phone(601) 608-0900
Laboratory LocationSpears Medical Clinic LLC804 Robb St, Summit, MS 39666
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER GHOLSON MD
Family Medicine
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 276-7665
LORI TATE L.C.S.W
Social Worker (Clinical)
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 276-7665
JENNIFER D GHOLSON MD, LLC
Family Medicine
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 276-7665
MR. DAMON SCOTT SPEARS RN,MSN, FNP-C
Nurse Practitioner
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 608-0900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spears Medical Clinic PLLC's NPI number?

The NPI number for Spears Medical Clinic PLLC is 1003497751. It was assigned to this organization in the NPPES registry on April 15, 2021.

Where is Spears Medical Clinic PLLC located?

Spears Medical Clinic PLLC is located at 804 Robb St, Summit, MS 39666. The listed phone number is (601) 608-0900.

What is Spears Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Spears Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2228984) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spears Medical Clinic PLLC accept?

Health plans from Molina Healthcare list Spears Medical Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spears Medical Clinic PLLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.