MR. DAVID BENSON SUMERFORD (NPI# 1508193459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508193459 |
Entity Type | Individual |
Full Name | MR. DAVID BENSON SUMERFORD |
Other Name | MR. BEN SUMERFORD |
Credential | FNP-BC, PMHNP |
Practice Address |
499 Gloster Creek Vlg Suite D-1 Tupelo MS 38801-4600 |
Mailing Address |
Po Box 305 Smithville MS 38870-0305 |
Practice Telephone | 6626908007 |
Mailing Telephone | 6626908007 |
Mailing Fax Number | 6626514658 |
Enumeration Date | 2009-11-13 |
Last Update Date | 2018-11-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R884013 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
884013 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 08725789 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
106 Walker St, Houlka, MS 388509453 | 6625683316 | |
12725 Highway 23 N, Tremont, MS 388768735 | 6626523361 | |
182 W Main St, Nettleton, MS 388586075 | 6629635050 | |
60021 Monroe St, Smithville, MS 388707779 | 6626514637 |
Street Address |
499 GLOSTER CREEK VLG SUITE D-1 |
City | TUPELO |
State | MS |
Zip Code | 38801-4600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407856958 | Clarance Stephen Farmer II | Urology | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | 2005-07-27 |
1508219221 | Jacob Rowland | Physician Assistant | 499 Gloster Creek Vlg, Suite G1, Tupelo, MS 38801-4600 | 2016-07-18 |
1073960308 | Jordan Ward | Licensed Practical Nurse | 499 Gloster Creek Vlg, Tupelo, MS 38801-4600 | 2016-05-17 |
1326402660 | Stephanie Denton | Licensed Practical Nurse | 499 Gloster Creek Vlg, Suite A-3, Tupelo, MS 38801-4600 | 2016-04-13 |
1942606256 | Ivancic Pediatric Clinic Pa | Clinic/Center | 499 Gloster Creek Vlg, Suite H-3, Tupelo, MS 38801-4600 | 2014-11-13 |
1679903546 | Northeast Mental Health-mental Retardation Commission | Clinic/Center | 499 Gloster Creek Vlg, Suite A-3, Tupelo, MS 38801-4600 | 2013-11-13 |
1063848638 | Jennifer G. Estock | Nurse Practitioner | 499 Gloster Creek Vlg, Suite D-1, Tupelo, MS 38801-4600 | 2013-09-16 |
1114252160 | Katherine Mcduffie | Nurse Practitioner | 499 Gloster Creek Vlg, Suite A-2, Tupelo, MS 38801-4600 | 2009-10-08 |
1871736496 | John Russell, IIi, D.m.d. | Dentist | 499 Gloster Creek Vlg, Tupelo, MS 38801-4600 | 2009-04-13 |
1427206556 | Janet Richey | Nurse Practitioner | 499 Gloster Creek Vlg, Ste. A-2, Tupelo, MS 38801-4600 | 2008-09-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
1710532668 | Sondra Bennett Pmhnp-bc LLC | Nurse Practitioner | 144 S Thomas St Ste 207, Tupelo, MS 38801-5337 | 2019-08-07 |
1891353413 | Jennifer Warren Pmhnp-bc LLC | Nurse Practitioner | 315 Magazine St Ste D, Tupelo, MS 38804-3974 | 2019-05-29 |
1548783509 | Ashley Cooper | Nurse Practitioner | 499 Gloster Creek Vlg Ste A-3, Tupelo, MS 38801-4600 | 2017-07-21 |
1356707400 | Jennifer K Warren | Nurse Practitioner | 315 Magazine St Ste C, Tupelo, MS 38804-4802 | 2016-01-05 |
1750416905 | Lisa Theresa Lippincott | Nurse Practitioner | 210 E Main St Ste D, Tupelo, MS 38804-4017 | 2007-02-21 |
1275182818 | Andrea Paige Pounds | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-09-06 |
1710532239 | Sabrina Hurd Hall | Nurse Practitioner | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2019-08-02 |
1023572294 | Colby Ponder | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-01-22 |
1730656422 | Emily L Mccormac | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2018-10-31 |
Find all providers in TUPELO |
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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.