Jennifer D Gholson MD, LLC

Jennifer D Gholson MD, LLC is a healthcare organization registered as Family Medicine Physician in Summit, MS, holding Type 2 (organization) NPI 1487967410 since 2010. The authorized official on file is Jennifer Gholson, Owner.

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NPI	1487967410
Entity type	Organization (Type 2)
Legal business name	Jennifer D Gholson MD, LLC
Practice address	804 ROBB ST, Summit, MS, 39666
Phone	6012767665
Fax	6012767655
Enumeration date	2010-07-19
Last updated in NPPES	2015-06-16

Authorized official

Name	Jennifer Gholson
Title	Owner
Phone	6012767665

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Jennifer D Gholson MD, LLC
NPI: 1487967410
Taxonomy: 207Q00000X (Family Medicine Physician)
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
1477921468	Lori Tate	Individual	Clinical Social Worker	Summit, MS
1003497751	Spears Medical Clinic Pllc	Organization	Family Nurse Practitioner	Summit, MS

Verify this record

Cross-check NPI 1487967410 against the authoritative CMS record: view Jennifer D Gholson MD, LLC 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

Where is Jennifer D Gholson MD, LLC located?

The practice location on file with NPPES is in Summit, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-16.