Active NPI
Cullen Cleveland Copeland Sr., MD
- Family Medicine Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33806
- Practice address
- 2500 S 8TH Ave Ste 200
Yuma, AZ 85364-7158 - Phone
- (928) 336-7095
- NPI assigned
- Jul 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | ||
| Family Medicine Physician | 207Q00000X | 33806 | MS | Primary |
Addresses
Primary practice location
2500 S 8TH Ave Ste 200
Yuma, AZ 85364-7158
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 336-7095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919002620 | MS | Practitioner - Family Practice | 3476957549 | Reassigns benefits to 4 organizations |
| I20251009001928 | TN | Practitioner - Emergency Medicine | 3476957549 | Reassigns benefits to 2 organizations |
| I20260513003884 | TN | Practitioner - Family Practice | 3476957549 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 River Rd
Greenwood, MS 38930-4030
Phone (662) 459-2603
2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000
409 Tyler Holmes Dr
Winona, MS 38967-1521
Phone (662) 283-6121
742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608
Hospital & facility affiliations
- Leconte Medical Center
- Greenwood Leflore Hospital
- Northwest Missississippi Regional Medical Center
- Anderson Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33806 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Bear Creek Emergency Group LLC | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| White Buffalo Health, PLLC | Family Medicine | Current | Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Current | Accepting new patients | |
| Yuma Regional Medical Center | Past | Accepting new patients |
Locations
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
122 E Baker St
Indianola, MS 38751
Phone (662) 335-0183
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060
8401 Hwy 111
Byrdstown, TN 38549
Phone (931) 864-3187
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Interoperability endpoints
- cullencopeland@ifmg.allscriptsdirect.net
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
MS
-
- Family Medicine Physician
- Byrdstown, TN
- NPI 1285571984
Family Medicine, TN
-
- Rural Health Clinic/Center
- Indianola, MS
- NPI 1245248699
-
- Anesthesiology Physician
- Indianola, MS
- NPI 1407064454
-
- Clinic/Center
- Indianola, MS
- NPI 1487685897
-
- Advanced Practice Midwife
- Indianola, MS
- NPI 1962395863
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clarksdale, MS
- NPI 1275217606
Hospital
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1548833320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-336-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S 8TH AVE STE 200",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647158",
"telephone_number": "928-336-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "CULLEN",
"middle_name": "CLEVELAND",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-20",
"last_updated": "2025-07-03",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "33806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.