Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Foree Spears, PA-C, CCP

Individual provider Physician Assistant · NPI 1336119916

Shane Foree Spears, PA-C, CCP is a Physician Assistant in Tyler, Texas. Qualified in 1999, 27 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
27
Licensed in
TX, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 590-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA15805 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA10004751 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA10004751 (WA)

Record details

NPI number1336119916
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , CCP
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Franciscan Medical Group — 1417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tyler