Organization Active NPI

White Buffalo Health, PLLC

Doing business as Byrdstown Heritage Medical Center

  • Family Medicine Physician
  • Byrdstown, TN
National Provider Identifier
1285571984
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHITE BUFFALO HEALTH, PLLC
Doing business as
Byrdstown Heritage Medical Center
Practice address
8401 Hwy 111
Byrdstown, TN 38549-1006
Phone
(931) 864-2462
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dr. Cully Copeland, MD
Title
Owner
Phone
(931) 864-2462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8401 Hwy 111
Byrdstown, TN 38549-1006

Mailing address

8401 Hwy 111
Byrdstown, TN 38549-1006

Other names 1

  • Byrdstown Heritage Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513003649 TN Part B Supplier - Clinic/Group Practice 8820567399 Receives reassigned benefits from 1 practitioner
Practice locations: Byrdstown, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1285571984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HWY 111",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385491006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HWY 111",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385491006",
            "telephone_number": "931-864-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BUFFALO HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CULLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-864-2462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byrdstown Heritage Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byrdstown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.