Individual provider Active NPI

Christopher J Cummins, M.D.

  • Family Medicine Physician
  • Oxford, MS
National Provider Identifier
1376741355
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53359 Issued in TN
Practice address
406 Galleria Dr
Oxford, MS 38655-5462
Phone
(978) 444-2273
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53359 TN Primary
General Practice Physician 208D00000X 19838 MS

Addresses

Primary practice location

406 Galleria Dr
Oxford, MS 38655-5462

Mailing address

6242 Charleston Court Dr
Oxford, MS 38655-8098
Phone (978) 444-2273

Other identifiers 1

IdentifierTypeStateIssuer
260542139OtherMSTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071026000294 MS Practitioner - General PracticePractitioner - Emergency Medicine 6406943265 Reassigns benefits to 1 organization
I20151229001857 TN Practitioner - Family Practice 6406943265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 Heritage Dr
Suite 111
Oxford, MS 38655-5459
Phone (978) 444-2273

721 W Brookhaven Cir
Memphis, TN 38117-4503
Phone (662) 801-2841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53359TNMDFamily Medicine Physician
19838MSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia State Family Medicine, LLC General Practice CurrentSince Aug 1, 2007 Accepting new patients
Hardeman County Community Health Center Past Accepting new patients
Prohealth Chiropractic LLC Past Accepting new patients

Locations

1009 City Ave N
#B
Ripley, MS 38663
Phone (601) 837-8163

1009B City Ave N
Ripley, MS 38663
Phone (662) 993-9458

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1376741355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 CHARLESTON COURT DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558098",
            "telephone_number": "978-444-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 GALLERIA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555462",
            "telephone_number": "978-444-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "53359",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "19838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "260542139",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.