Active NPI
Christopher Matthew Garrett Puls, MD
- Child & Adolescent Psychiatry Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 24295
- Practice address
- 7601 Southcrest Pkwy
Southaven, MS 38671-4739 - Phone
- (662) 772-4000
- NPI assigned
- Jan 30, 2006
- Last updated
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200050080A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, MI, TN, WI, WV, MD, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32517 | MS | MD | Child & Adolescent Psychiatry Physician |
| 69858 | TN | MD | Child & Adolescent Psychiatry Physician |
| 3604 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Grand Lake Mental Health Center Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | 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
- cpuls17636@muscogeecreeknation.direct-ci.com
- 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.
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
dba Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
dba GRAND Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, OK
- NPI 1497762520
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
dba Integrated Specialists Group
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
dba Atrium Health Floyd Specialty Care
- Neonatal-Perinatal Medicine Physician
- Rome, GA
- NPI 1992814586
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
dba Baptist Medical Clinic-Brandon
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.