NPIMap

Organization Active NPI

Spear Clinic PA

  • Primary Care Clinic/Center
  • Summerfield, NC
National Provider Identifier
1679503338
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9401343 Issued in NC
Legal business name
SPEAR CLINIC PA
Practice address
1007-G Highway 150 West
Summerfield, NC 27358-9772
Phone
(336) 644-7771
Fax
(336) 644-6118
NPI assigned
Jul 5, 2006
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Tammy R Spear, MDNPI 1497724686
Title
Owner
Phone
(336) 644-7771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9401343 NC Primary

Addresses

Primary practice location

1007-G Highway 150 West
Summerfield, NC 27358-9772

Mailing address

1007-G Highway 150 West
Summerfield, NC 27358-9772
Phone (336) 644-7771

Other identifiers 1

IdentifierTypeStateIssuer
5903480MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1679503338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007-G HIGHWAY 150 WEST",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589772",
            "telephone_number": "336-644-7771",
            "fax_number": "336-644-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007-G HIGHWAY 150 WEST",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589772",
            "telephone_number": "336-644-7771",
            "fax_number": "336-644-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAR CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-644-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9401343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903480",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.