Individual provider Active NPI

Damon Scott Spears, RN,MSN, FNP-C

  • Nurse Practitioner
  • Summit, MS
National Provider Identifier
1679628697
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
901999 Issued in MS
Practice address
804 Robb St
Summit, MS 39666-8291
Phone
(601) 608-0900
Fax
(601) 600-2171
NPI assigned
Jan 23, 2007
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

Addresses

Primary practice location

804 Robb St
Summit, MS 39666-8291

Mailing address

701B Robb St
Summit, MS 39666-8241
Phone (601) 608-0900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170713002346 MS Practitioner - Nurse Practitioner 2668741257 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 9032549142, 46 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R852829MSMDUrology Registered Nurse
901999MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spears Medical Clinic PLLC CurrentSince Aug 2, 2021 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Aug 20, 2018 Accepting new patients
Maxem Health Urgent Care McComb CurrentSince Feb 1, 2019 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Sep 15, 2018 Accepting new patients
Claiborne County Hospital CurrentSince Jun 1, 2020 Accepting new patients
App of Mississippi Ed, LLC CurrentSince Mar 12, 2018 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Sep 15, 2018 Accepting new patients
Petal Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

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

701 Robb St
#B
Summit, MS 39666
Phone (601) 608-0900

804 Robb St
Summit, MS 39666
Phone (601) 276-7665

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1679628697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701B ROBB ST",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668241",
            "telephone_number": "601-608-0900"
        },
        {
            "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": {
        "last_name": "SPEARS",
        "first_name": "DAMON",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "RN,MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R852829",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MS",
            "license": "R852829",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "MS",
            "license": "R852829",
            "primary": false
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "MS",
            "license": "R852829",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, MS

Sources for this page

Verify at the official NPI Registry.