MR. DAVID BENSON SUMERFORD


Address: 499 Gloster Creek Vlg, Suite D-1, Tupelo, MS 38801-4600
Phone: 6626908007

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS 08725789 05

Provider Secondary Practice Location

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

Office Location

Street Address 499 GLOSTER CREEK VLG
SUITE D-1
City TUPELO
State MS
Zip Code 38801-4600

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

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.

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