Organization Active NPI

Cummings Health Care Center

  • Primary Care Clinic/Center
  • Clarksdale, MS
National Provider Identifier
1528273315
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
12250 Issued in MS
Legal business name
CUMMINGS HEALTH CARE CENTER
Practice address
536 S Choctaw St
Clarksdale, MS 38614-4800
Phone
(662) 627-4442
Fax
(662) 627-9665
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Johnnie E Cummings III, M.D.NPI 1972501815
Title
Owner
Phone
(662) 627-4442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 12250 MS Primary

Addresses

Primary practice location

536 S Choctaw St
Clarksdale, MS 38614-4800

Mailing address

PO Box 1610
536 Choctaw Street
Clarksdale, MS 38614-8410
Phone (662) 627-4442

National Provider Directory

National Provider Directory

Locations

526 S Choctaw St
Ste A
Clarksdale, MS 38614
Phone (662) 627-4442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1528273315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "address_2": "536 CHOCTAW STREET",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386148410",
            "telephone_number": "662-627-4442",
            "fax_number": "662-627-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S CHOCTAW ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144800",
            "telephone_number": "662-627-4442",
            "fax_number": "662-627-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMINGS HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-627-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "12250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.