Active NPI
David Benson Sumerford, FNP-BC, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 884013
- Practice address
- 499 Gloster Creek VLG
Suite D-1
Tupelo, MS 38801-4600 - Phone
- (662) 690-8007
- NPI assigned
- Nov 13, 2009
- Last updated
- May 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R884013 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 884013 | MS | Primary |
Addresses
Primary practice location
499 Gloster Creek VLG
Suite D-1
Tupelo, MS 38801-4600
Mailing address
PO Box 305
Smithville, MS 38870-0305
Phone (662) 690-8007
Other practice location 1
60021 Monroe St
Smithville, MS 38870-7779
Phone (662) 651-4637
Other practice location 2
12725 Highway 23 N
Tremont, MS 38876-8735
Phone (662) 652-3361
Other practice location 3
106 Walker St
Houlka, MS 38850-9453
Phone (662) 568-3316
Other practice location 4
182 W Main St
Nettleton, MS 38858-6075
Phone (662) 963-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08725789 | Medicaid | MS |
Other names 1
- Mr. Ben Sumerford
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
499 Gloster Creek VLG
D1
Tupelo, MS 38801-4753
Phone (662) 690-8007
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R884013 | MS | MD | Family Nurse Practitioner |
| 884013 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Services, Inc. | Current | Accepting new patients | |
| Access Family Health Services, Inc. | Current | Accepting new patients | |
| Access Family Health Services, Inc. | Current | Accepting new patients | |
| Right Track Medical Group, Inc | Current | Accepting new patients | |
| Access Family Health Services, Inc. | Past | Accepting new patients | |
| Paragon Contracting Services LLC | Past | Accepting new patients | |
| Mississippi Center for Advanced Medicine, PC | Past | Accepting new patients |
Locations
106 Walker St
Houlka, MS 38850
Phone (662) 568-3316
182 W Main St
Nettleton, MS 38858
Phone (662) 963-3634
60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637
200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900
4428 S Eason Blvd
Ste B
Tupelo, MS 38801
499 Gloster Creek Vlg
Ste D1
Tupelo, MS 38801
Phone (662) 690-8007
Interoperability endpoints
- david.sumerford.2@14756.direct.athenahealth.com
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.
-
dba ACCESS Family Health - Smithville Clinic
- Community Health Clinic/Center
- Smithville, MS
- NPI 1457453730
-
- Psychiatry Physician
- Olive Branch, MS
- NPI 1972080257
-
- Community/Retail Pharmacy
- Tremont, MS
- NPI 1124618525
-
dba Access School Health - North Pontotoc
- Federally Qualified Health Center (FQHC)
- Ecru, MS
- NPI 1902398381
-
dba Access School Health - Hatley
- Federally Qualified Health Center (FQHC)
- Amory, MS
- NPI 1073005450
-
- Specialist
- Madison, MS
- NPI 1790227627
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1508193459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "SMITHVILLE",
"state": "MS",
"postal_code": "388700305",
"telephone_number": "662-690-8007",
"fax_number": "662-651-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 GLOSTER CREEK VLG",
"address_2": "SUITE D-1",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014600",
"telephone_number": "662-690-8007"
}
],
"practiceLocations": [
{
"address_1": "60021 Monroe St",
"address_purpose": "LOCATION",
"city": "Smithville",
"state": "MS",
"postal_code": "388707779",
"country_code": "US",
"telephone_number": "662-651-4637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12725 Highway 23 N",
"address_purpose": "LOCATION",
"city": "Tremont",
"state": "MS",
"postal_code": "388768735",
"country_code": "US",
"telephone_number": "662-652-3361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Walker St",
"address_purpose": "LOCATION",
"city": "Houlka",
"state": "MS",
"postal_code": "388509453",
"country_code": "US",
"telephone_number": "662-568-3316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "182 W Main St",
"address_purpose": "LOCATION",
"city": "Nettleton",
"state": "MS",
"postal_code": "388586075",
"country_code": "US",
"telephone_number": "662-963-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMERFORD",
"first_name": "DAVID",
"middle_name": "BENSON",
"name_prefix": "Mr.",
"credential": "FNP-BC, PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-13",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R884013",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "884013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08725789",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEN",
"last_name": "SUMERFORD",
"prefix": "MR.",
"credential": "FNP-BC, PMHNP-BC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.