Individual provider Active NPI

Stephen Richard Sumrall, MD

  • Emergency Medicine Physician
  • Pascagoula, MS
National Provider Identifier
1477756153
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T-1854 Issued in MS
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5000
NPI assigned
Jun 8, 2007
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T-1854 MS Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-8874

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090217000401 MS Practitioner - Emergency Medicine 6305901885 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1104 Broad Ave
Gulfport, MS 39501-2414
Phone (228) 822-6811

1110 Broad Ave
Suite 500
Gulfport, MS 39501-8902
Phone (228) 575-2588

1110 Broad Ave
Suite 700
Gulfport, MS 39501-8908
Phone (228) 864-0314

1202 Broad Ave
Gulfport, MS 39501-2426
Phone (228) 822-9360

1203 Broad Ave
Gulfport, MS 39501-2489
Phone (228) 868-5555

1206 31St Ave
Gulfport, MS 39501-1804
Phone (228) 864-0008

1312 44TH Ave
Gulfport, MS 39501-2552
Phone (228) 867-5012

1340 Broad Ave
Gulfport, MS 39501-2404

1340 Broad Ave
Gulfport, MS 39501-2445

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2464

1340 Broad Ave
Gulfport, MS 39501-2465

1340 Broad Ave
Suite 410
Gulfport, MS 39501-2459
Phone (228) 867-5202

1391 Broad Ave
Suite a
Gulfport, MS 39501-2419
Phone (228) 863-8868

1397 Broad Ave
Gulfport, MS 39501-2419
Phone (228) 575-1945

1404 44TH Ave
Gulfport, MS 39501-2554
Phone (228) 575-2870

1408 44TH Ave
Gulfport, MS 39501-2554
Phone (228) 575-1777

147 Reynoir St
Biloxi, MS 39530-4119

147 Reynoir St
Biloxi, MS 39530-4121

147 Reynoir St
Biloxi, MS 39530-4123

1801 23Rd Ave
Gulfport, MS 39501-2964

2309 15TH St
Gulfport, MS 39501-2027

4215 15TH St
Gulfport, MS 39501-2523
Phone (228) 863-5211

4300 B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 822-6811

4333 15TH St
Suite a
Gulfport, MS 39501-2525
Phone (228) 863-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-1854MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Emergency Room Group LTD Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
Singing River Health System Emergency Medicine CurrentSince Jun 1, 2009 Accepting new patients
Harrison Emergency Group LLC Emergency Medicine CurrentSince Oct 20, 2024 Accepting new patients
Singing River Health System CurrentSince Jun 1, 2009 Accepting new patients
Memorial Hospital at Gulfport Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

Organizations & group practices 7

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.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1477756153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-8874",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.