Individual provider Active NPI

Cullen Cleveland Copeland Sr., MD

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1548833320
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33806 Issued in MS
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

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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
Greenwood Leflore HospitalGroup PAC ID 1153399472, 16 clinicians
Bear Creek Emergency Group LLCGroup PAC ID 8820587629, 33 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

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 Hospital, Sevierville, TN, CCN 440081
  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042
  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33806MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Jun 25, 2025 Accepting new patients
South Sunflower County Hospital CurrentSince Aug 12, 2024 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Bear Creek Emergency Group LLC CurrentSince Dec 30, 2025 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital CurrentSince Aug 12, 2024 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 CurrentSince Jan 19, 2025 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Sep 25, 2025 Accepting new patients
Yuma Regional Medical Center PastSince Jul 25, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.