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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHEN C SPAIN
NPI 1689718702
Family Medicine in Tyler, TX

Active since February 20, 2007CLIA 45D1107771 · Waiver
5040 KINSEY DR STE 300, TYLER, TX 75703(903) 561-8300(903) 561-8327 Get Directions Write a Review

NPPES record last updated: August 22, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Stephen C Spain NPPES

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

STEPHEN C SPAIN (NPI 1689718702) is a healthcare organization registered as a family medicine in Tyler, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Stephen C Spain, Owner, as its authorized official.

NPPES Registry Identity

NPI1689718702
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTEPHEN C SPAIN
Location Address5040 KINSEY DR STE 300Tyler, TX 75703-3046
Mailing Address1702 Holly Creek DrTyler, TX 75703-0907 · (903) 561-8300 · Fax (903) 561-8327
Phone(903) 561-8300
Fax(903) 561-8327
Organization SubpartNo
Authorized OfficialStephen C SpainOwner · (903) 561-8300
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2026
NPPES CertifiedAugust 22, 2026
✔ NPI 1689718702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5040 KINSEY DR STE 300, Tyler, TX 75703
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Other Identifiers 3

Other010054743Railroad Medicare
Other89X859Blue Cross
Medicaid133341103TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D1107771

Stephen C Spain MD · Tyler, TX
Active · expires Nov 11, 2027
CLIA Number45D1107771
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorStephen C. Spain
Laboratory Phone(903) 561-8300
Laboratory LocationStephen C Spain MD5040 Kinsey Dr Ste 300, Tyler, TX 75703
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 3

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

DR. STACIE RENEE CAMERON DNP, APRN, FNP-C
Nurse Practitioner (Family)
5040 KINSEY DR STE 300
TYLER, TX 75703
Smith County (903) 561-8300
MRS. TESSA NICOLE MAULDIN MS, APRN, AGNP-C
Nurse Practitioner (Adult Health)
5040 KINSEY DR STE 300
TYLER, TX 75703
Smith County (903) 561-8300
AMBER FURLOW NP
Nurse Practitioner (Adult Health)
5040 KINSEY DR STE 300
TYLER, TX 75703
Smith County (903) 561-8300

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 Stephen C Spain's NPI number?

The NPI number for Stephen C Spain is 1689718702. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Stephen C Spain located?

Stephen C Spain is located at 5040 Kinsey Dr Ste 300, Tyler, TX 75703. The listed phone number is (903) 561-8300.

What is Stephen C Spain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Stephen C Spain hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1107771) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stephen C Spain was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.