Individual provider Active NPI

David Benson Sumerford, FNP-BC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1508193459
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
884013 Issued in MS
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08725789MedicaidMS

Other names 1

  • Mr. Ben Sumerford Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000625 MS Practitioner - Nurse Practitioner 1759423791 Reassigns benefits to 2 organizations
Practice locations: Tupelo, MS

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

LicenseStateTypeSpecialty
R884013MSMDFamily Nurse Practitioner
884013MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Services, Inc. CurrentSince Oct 27, 2009 Accepting new patients
Access Family Health Services, Inc. Current Accepting new patients
Access Family Health Services, Inc. CurrentSince Oct 27, 2009 Accepting new patients
Right Track Medical Group, Inc CurrentSince Jul 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.