Spears Medical Clinic Pllc
Spears Medical Clinic Pllc is a healthcare organization registered as Family Nurse Practitioner in Summit, MS, holding Type 2 (organization) NPI 1003497751 since 2021. The authorized official on file is Damon Spears, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003497751 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Spears Medical Clinic Pllc |
| Practice address | 804 ROBB ST, Summit, MS, 39666 |
| Phone | 6016080900 |
| Fax | 6016002171 |
| Enumeration date | 2021-04-15 |
| Last updated in NPPES | 2025-04-30 |
Authorized official
| Name | Damon Spears |
|---|---|
| Title | Owner |
| Phone | 6016006522 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08751030 | Medicaid | MS | — |
| 1679628697 | Other | MS | NPPES NPI REGISTRY |
Copy-ready billing details
Provider: Spears Medical Clinic Pllc NPI: 1003497751 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 804 ROBB ST, Summit, MS, 39666
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174588834 | Jennifer Gholson | Individual | Family Medicine Physician | Summit, MS |
| 1679628697 | Damon Spears | Individual | Nurse Practitioner | Summit, MS |
| 1487967410 | Jennifer D Gholson MD, LLC | Organization | Family Medicine Physician | Summit, MS |
| 1477921468 | Lori Tate | Individual | Clinical Social Worker | Summit, MS |
Verify this record
Cross-check NPI 1003497751 against the authoritative CMS record: view Spears Medical Clinic Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Spears Medical Clinic Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-30.