DR. TIMOTHY SUMMERS (NPI# 1073684940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073684940 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY SUMMERS |
| Practice Address |
1818 College Drive Meridian MS 39307-5429 |
| Mailing Address |
Po Box 4128 Meridian MS 39304-4128 |
| Practice Telephone | 6015817600 |
| Practice Fax Number | 6014835543 |
| Mailing Telephone | 6015817600 |
| Mailing Fax Number | 6014835543 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
07197 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871121723 | Timothy Kyle Summers | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 | 2020-03-27 |
| 1215435532 | Timothy Jason Summers | Counselor | 279 Summit Dr, Waterford, MI 48329 | 2018-02-01 |
| 1639617863 | Timothy Summers | Hearing Instrument Specialist | 1830 Blake Ave, Suite #203, Glenwood Springs, CO 81601-4275 | 2017-02-08 |
| Street Address |
1818 COLLEGE DRIVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930884 | Rolando T. Abangan | Family Medicine | 1818 College Drive, Meridian, MS 39304 | 2005-11-21 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| 1205466414 | Arlene Edwards | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-16 |
| 1992260129 | Anna E Hollingshead | Nurse Practitioner | 1818 College Drive, Meridian, MS 39304 | 2019-02-01 |
| 1912461328 | Talmadge Rhodes Gray | Nurse Practitioner | 1818 College Drive, Meridian, MS 39305 | 2019-01-30 |
| 1346724598 | Mary Ellen Taylor | Nurse Practitioner | 1818 College Drive, Meridian, MS 39304 | 2018-09-23 |
| 1477030062 | Melanie Rae Howse | Nurse Practitioner | 1818 College Drive, Meridian, MS 39304 | 2018-07-26 |
| 1215300736 | Keri W Barr | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1437644564 | Ronni Rebekah Naramore | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307 | 2018-07-01 |
| 1750876876 | Dennis L Matthews | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307 | 2018-07-01 |
| 1548792732 | Rachel Claire Harper | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307 | 2017-03-28 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649466954 | Nazmul Talukdar | Psychiatry & Neurology | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2007-09-20 |
| 1932321742 | Otis Anderson IIi | Psychiatry & Neurology | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2007-05-02 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1841337656 | Cynthia Lufkin Undesser | Psychiatry & Neurology | 402 Wesley Ave, Jackson, MS 39202-1000 | 2007-01-31 |
| 1932290392 | Millcreek Epsdt | Psychiatry & Neurology | 900 First Ave., N.e., Magee, MS 39111 | 2006-09-28 |
| 1639620560 | North Plantation | Psychiatry & Neurology | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-15 |
| 1023363173 | Kelechi Nnamdi Emereonye | Psychiatry & Neurology | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2012-07-16 |
| 1710175260 | Clinical Neuroscience Group, Pllc | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 | 2007-10-10 |
| 1992906598 | Maecenas Inc | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazlehurst, MS 39083-0146 | 2007-05-30 |
| 1154477453 | Anthony Wade Jackson Sr. | Psychiatry & Neurology | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-01-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY SUMMERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.