SPEARS MEDICAL CLINIC PLLC
NPI 1003497751
Nurse Practitioner - Family in Summit, MS
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spears Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Spears Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MSFrequently 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.
Is Spears Medical Clinic PLLC enrolled in Medicare?
Yes. Spears Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spears Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Spears Medical Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 18 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.
# Spears Medical Clinic Pllc · NPI 1003497751
Family organization in Summit, Mississippi. Organization record, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1003497751 (Entity type: Organization)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Damon Spears, OWNER
## Practice location
- **Address:** 804 ROBB ST, Summit, MS 39666-8291
- **Phone:** (601) 608-0900 · **Fax:** (601) 600-2171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2025
- **Other identifiers:** Medicaid 08751030 (MS); Other 1679628697 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003497751) · Data from the CMS NPPES public registry.