Individual provider Active NPI

Cullen Tomme Shows

  • Primary Care Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1114614872
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
906955 Issued in MS
Practice address
5360 I 55 N Ste 150
Jackson, MS 39211-4055
Phone
(601) 345-8200
NPI assigned
Apr 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 915744 MS
Primary Care Nurse Practitioner 363LP2300X 906955 MS Primary

Addresses

Primary practice location

5360 I 55 N Ste 150
Jackson, MS 39211-4055

Mailing address

PO Box 301
Star, MS 39167-0301
Phone (601) 382-6325

Other practice location 1

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1000

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
I20251004000052 MS Practitioner - Nurse Practitioner 2860998101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Urology Clinic PLLCGroup PAC ID 6406830942, 14 clinicians

Practice addresses (Care Compare)

501 Marshall St
Suite 301
Jackson, MS 39202-1687
Phone (601) 353-9900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
915744MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Urology Clinic, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

501 Marshall St
Ste 301
Jackson, MS 39202

971 Lakeland Dr
Ste 657
Jackson, MS 39216
Phone (601) 200-2780

Interoperability endpoints

  • Direct secure messaging: cullenshows@muc.medalliesdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1114614872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "STAR",
            "state": "MS",
            "postal_code": "391670301",
            "telephone_number": "601-382-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 I 55 N STE 150",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114055",
            "telephone_number": "601-345-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOWS",
        "first_name": "CULLEN",
        "middle_name": "TOMME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "915744",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "906955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.