Spears Medical Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SPEARS MEDICAL CLINIC PLLC

Practice address

804 Robb St
Summit, MS 39666-8291

Phone

(601) 608-0900

Fax

(601) 600-2171

NPI assigned

Apr 15, 2021

Organization subpart

No

Name

Damon Scott Spears, FNP-CNPI 1679628697

Title

Owner

Phone

(601) 600-6522

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damon Scott Spears, RN,MSN, FNP-C

  • Nurse Practitioner
  • Summit, MS
  • NPI 1679628697

  MS

  Medicare reassignment NPD Authorized official
• Tonya M Rushing, FNP-C

  • Primary Care Nurse Practitioner
  • Brookhaven, MS
  • NPI 1922653849

  MS

  Medicare reassignment NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2025.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1003497751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396660054",
            "telephone_number": "601-608-0900",
            "fax_number": "601-600-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ROBB ST",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668291",
            "telephone_number": "601-608-0900",
            "fax_number": "601-600-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-600-6522",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08751030",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI REGISTRY",
            "identifier": "1679628697",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith
• Laurie Smith
• Southwest Mississippi Regional Medical Center
• Southwest Mississippi Regional Medical Center
• Southwest Pharmacy, Inc.
• Damon Scott Spears, RN,MSN, FNP-C
• Kayla Ann Spradley
• Christi Steed
• Kristen Steele, OT
• Dana Stephenson

• All providers in Summit, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.