Individual provider Active NPI

Hubert Earl Spears Jr., M.D.

  • Surgery Physician
  • University, MS
National Provider Identifier
1538196845
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
09189 Issued in MS
Practice address
400 Rebel Drive
University, MS 38677
Phone
(662) 915-6550
Fax
(662) 915-2022
NPI assigned
Jun 26, 2006
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 09189 MS Primary
Surgical Oncology Physician 2086X0206X 09189 MS
Colon & Rectal Surgery Physician 208C00000X 09189 MS

Addresses

Primary practice location

400 Rebel Drive
University, MS 38677

Mailing address

400 Rebel Drive
University, MS 38677-5223
Phone (662) 915-6550

Other identifiers 1

IdentifierTypeStateIssuer
00113324MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000972 MS Practitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - General Practice 3476678368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 7, 2022 Accepting new patients
Memphis Surgical Specialists, PC Surgery Past Accepting new patients

Locations

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (662) 390-7670

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9172/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1538196845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REBEL DRIVE",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "386775223",
            "telephone_number": "662-915-6550",
            "fax_number": "629-152-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 REBEL DRIVE",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "38677",
            "telephone_number": "662-915-6550",
            "fax_number": "662-915-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "HUBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "09189",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MS",
            "license": "09189",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MS",
            "license": "09189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113324",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University, MS

Sources for this page

Verify at the official NPI Registry.