Damon Scott Spears, RN,MSN, FNP-C
Individual provider Active NPI Nurse Practitioner · Summit, MS
NPI 1679628697 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1679628697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 901999 (MS)
- Practice address
- 804 Robb St
Summit, MS 39666-8291 - Phone
- (601) 608-0900
- Fax
- (601) 600-2171
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Relias Emergency Medicine Specialists of Hattiesburg LLC
Practice addresses (Care Compare)
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
804 Robb St
Summit, MS 39666-8291
Phone (601) 608-0900
Hospital & facility affiliations
- St Luke Home Health Services
- Southwest Ms Regional Medical Center
- King'S Daughters Medical Center-Brookhaven
- Forrest General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170713002346 | MS | Practitioner - Nurse Practitioner | 2668741257 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R852829 | MS | MD | Registered Nurse |
| 901999 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claiborne County Hospital | Current |
Accepting new patients | |
| App of Mississippi Ed, LLC | Current |
Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Current |
Accepting new patients | |
| Spears Medical Clinic PLLC | Current |
Accepting new patients | |
| Maxem Health Urgent Care McComb | Current |
Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current |
Accepting new patients | |
| Fast Pace Mississippi, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Petal Urgent Care LLC | Current |
Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
101 Edgewood Dr
McComb, MS 39648
Phone (601) 324-3244
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
1272 Evelyn Gandy Pkwy
Ste 60
Petal, MS 39465
Phone (601) 336-5393
123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141
1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
804 Robb St
Summit, MS 39666
Phone (601) 276-7665
701 Robb St
#B
Summit, MS 39666
Phone (601) 608-0900
100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R852829 | MS | |
| Emergency Registered Nurse | 163WE0003X | R852829 | MS | |
| Flight Registered Nurse | 163WF0300X | R852829 | MS | |
| Urology Registered Nurse | 163WU0100X | R852829 | MS | |
| Nurse Practitioner | 363L00000X | 901999 | MS | Yes |
Addresses
Primary practice location
804 Robb St
Summit, MS 39666-8291
Mailing address
701B Robb St
Summit, MS 39666-8241
Phone (601) 608-0900
Other providers in Summit, MS
- Laurie Smith
- Southwest Mississippi Regional Medical Center
- Southwest Mississippi Regional Medical Center
- Southwest Pharmacy, Inc.
- Spears Medical Clinic PLLC
- Kayla Ann Spradley
- Christi Steed
- Kristen Steele
- Dana Stephenson
- Jennifer K. Stogner
All providers in Summit, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.