Individual provider Active NPI

Christopher Matthew Garrett Puls, MD

  • Child & Adolescent Psychiatry Physician
  • Southaven, MS
National Provider Identifier
1376514125
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
24295 Issued in OK
Practice address
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone
(662) 772-4000
NPI assigned
Jan 30, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 32517 MS
Child & Adolescent Psychiatry Physician 2084P0804X EMC0004101 MI
Child & Adolescent Psychiatry Physician 2084P0804X 69858 TN
Child & Adolescent Psychiatry Physician 2084P0804X 24295 OK Primary

Addresses

Primary practice location

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Mailing address

6712 E 108TH St
Tulsa, OK 74133-7122
Phone (918) 607-6007

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Other identifiers 1

IdentifierTypeStateIssuer
200050080AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MI, TN, WI, WV, MD, GA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20050425000817 OK Practitioner - Psychiatry 1850353392 Reassigns benefits to 2 organizations
I20210421000972 TX Practitioner - Psychiatry 1850353392 Reassigns benefits to 1 organization
I20231215002820 MI Practitioner - Psychiatry 1850353392 Reassigns benefits to 2 organizations
I20240119001336 TN Practitioner - Psychiatry 1850353392 Reassigns benefits to 1 organization
I20240130000775 WI Practitioner - Psychiatry 1850353392 Reassigns benefits to 1 organization
I20240226002241 WV Practitioner - Psychiatry 1850353392
I20240408000752 MD Practitioner - Psychiatry 1850353392 Reassigns benefits to 1 organization
I20250115000959 GA Practitioner - Psychiatry 1850353392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32517MSMDChild & Adolescent Psychiatry Physician
69858TNMDChild & Adolescent Psychiatry Physician
3604WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Dec 15, 2023 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jan 9, 2024 Accepting new patients
Henry Ford Health System Current Accepting new patients
St Agnes Healthcare Inc CurrentSince Mar 25, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 1, 2024 Accepting new patients
Grand Lake Mental Health Center Inc CurrentSince Feb 12, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 9, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Henry Ford Health System CurrentSince Dec 12, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 1, 2021 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jan 1, 2024 Accepting new patients
Cookeville Regional Medical Center CurrentSince Dec 15, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 30, 2018 Accepting new patients
St Agnes Healthcare Inc CurrentSince Mar 25, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 9, 2024 Accepting new patients
Henry Ford Health System CurrentSince Dec 12, 2023 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jan 9, 2024 Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3585 Washington Blvd
Halethorpe, MD 21227

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

1313 E 20th St
Okmulgee, OK 74447
Phone (918) 591-5700

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

6128 E 38th St
Tulsa, OK 74135
Phone (800) 722-3611

6333 E Skelly Dr
Tulsa, OK 74135
Phone (918) 664-4224

Dept 1467
Tulsa, OK 74182

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: cpuls17636@muscogeecreeknation.direct-ci.com
  • Direct secure messaging: cpuls952146@direct.hfhs.org

Organizations & group practices 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1376514125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 E 108TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337122",
            "telephone_number": "918-607-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-772-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-2600",
            "fax_number": "313-916-2478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW GARRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MS",
            "license": "32517",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "EMC0004101",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "69858",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "24295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200050080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.