SPEARS MEDICAL CLINIC PLLC
NPI 1003497751
Nurse Practitioner - Family in Summit, MS
NPI Status: Active since April 15, 2021
Contact Information
804 ROBB ST
SUMMIT, MS
ZIP 39666
Phone: (601) 608-0900
Fax: (601) 600-2171
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 25D2228984
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 07-05-2025
About SPEARS MEDICAL CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Spears Medical Clinic Pllc, a provider established in Summit, Mississippi operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1003497751 assigned on April 2021. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Damon Scott Spears Fnp-c (Owner)
- NPI
- 1003497751
- Provider Name
- SPEARS MEDICAL CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 804 ROBB ST SUMMIT, MS 39666
- Location Phone
- (601) 608-0900
- Location Fax
- (601) 600-2171
- Mailing Address
- PO BOX 54 SUMMIT, MS 39666
- Mailing Phone
- (601) 608-0900
- Mailing Fax
- (601) 600-2171
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-15-2021
- Last Update Date
- 04-30-2025
- Code Navigator
A nurse practitioner (NP) like Spears Medical Clinic Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08751030 | MEDICAID (05) | MS | |
| 1679628697 | OTHER (01) | MS | NPPES NPI REGISTRY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2228984
- Facility Type
- Practitioner Other
- Certificate Effective Date
- July 06, 2023
- Certificate Expiration Date
- July 05, 2025
- Laboratory Director
- DAMON SPEARS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spears Medical Clinic Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 4 | 9 | 7 | 7 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 8 | 9 | 14 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 8 + 9 + 1 + 4 + 7 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1003497751 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174588834 | DR. JENNIFER GHOLSON MD Individual | Family Medicine | 804 ROBB ST SUMMIT, MS 39666 (601) 276-7665 |
| 1487967410 | JENNIFER D GHOLSON MD, LLC Organization | Family Medicine | 804 ROBB ST SUMMIT, MS 39666 (601) 276-7665 |
| 1477921468 | LORI TATE L.C.S.W Individual | Social Worker (Clinical) | 804 ROBB ST SUMMIT, MS 39666 (601) 276-7665 |
| 1679628697 | MR. DAMON SCOTT SPEARS RN,MSN, FNP-C Individual | Nurse Practitioner | 804 ROBB ST SUMMIT, MS 39666 (601) 608-0900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003497751, enumerated in the NPI registry as an "organization" on April 15, 2021
The provider is located at 804 Robb St Summit, Ms 39666 and the phone number is (601) 608-0900
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D2228984 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 15, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.