Nathan Shane Sumner, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD.28744 Issued in AL

Practice address

81Mdos/Sgomu
301 Fisher Street Ste 1F-130
Keesler Afb, MS 39534-2519

Phone

(228) 376-3791

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1265652846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81MDOS/SGOMU",
            "address_2": "301 FISHER STREET STE 1F-130",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342519",
            "telephone_number": "228-376-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81MDOS/SGOMU",
            "address_2": "301 FISHER STREET STE 1F-130",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342519",
            "telephone_number": "228-376-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "NATHAN",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "MD.28744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Stinson, DO
• James Lewis Strawn IV, IDMT
• Kody Lee Stroschein, DO
• Michael Struthers
• Jeffrey James Styskal, D.D.S.
• Benjamin Louis Ten Eyck, MD
• Roger Shawn Thomas, MD
• Mathew Ray Thompson, CRNA
• Rachel Tindal, MD
• Lea Marie Trush, MD

• Neurology Physician in Keesler Afb, MS
• Providers in Keesler Afb, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.