Individual provider Active NPI

Cheryl B McCullumsmith, MD

  • Psychiatry Physician
  • Tyler, TX
National Provider Identifier
1801977954
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U0038 Issued in TX
Practice address
11937 US Highway 271
Tyler, TX 75708-3154
Phone
(903) 877-7200
Fax
(903) 877-5757
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X U0038 TX Primary
Psychosomatic Medicine Physician 2084P0015X 35.122145 OH
Psychiatry Physician 2084P0800X 01098067A IN
Psychiatry Physician 2084P0800X 036177373 IL
Psychiatry Physician 2084P0800X 27447 AL

Addresses

Primary practice location

11937 US Highway 271
Tyler, TX 75708-3154

Mailing address

11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7200

Other identifiers 18

IdentifierTypeStateIssuer
051538447MedicaidAL
051547242OtherALBCBS
51599076OtherALBCBS
P00413953OtherALRAILROAD MEDICARE
009940507MedicaidAL
009940506MedicaidAL
100306MedicaidAL
123968MedicaidAL
009940508MedicaidAL
051538446OtherALBCBS
009940959MedicaidAL
051110716OtherALBCBS
051538445OtherALBCBS
051539055OtherALBCBS
111428MedicaidAL
04401803MedicaidMS
051547596OtherALBCBS
101156MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, IL, WI, TN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20230516001785 TX Practitioner - Psychiatry 0042312522 Reassigns benefits to 2 organizations
I20260327000435 IN Practitioner - Psychiatry 0042312522 Reassigns benefits to 1 organization
I20260430001497 IL Practitioner - Psychiatry 0042312522 Reassigns benefits to 2 organizations
I20260527000753 WI Practitioner - Psychiatry 0042312522 Reassigns benefits to 1 organization
I20260601002659 TN Practitioner - Psychiatry 0042312522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Senior Psychcare of Dallas I PLLCGroup PAC ID 2466625371, 46 clinicians
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians

Practice addresses (Care Compare)

11937 US Hwy 271
Tyler, TX 75708-3154
Phone (903) 877-7200

18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292

4635 Southwest Fwy
Suite 635
Houston, TX 77027-7112
Phone 71385000491053

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2569

502 Quitman St
Pittsburg, TX 75686-1034
Phone (903) 856-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.122145OHMDPsychosomatic Medicine Physician
27447ALMDPsychiatry Physician
036177373ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Jul 1, 2023 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince May 1, 2023 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince May 1, 2023 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jul 1, 2023 Accepting new patients
University of Texas Health Science Center at Tyler Past Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

Interoperability endpoints

  • Direct secure messaging: cmccullumsmith868160@ahs.direct-ci.com
  • Direct secure messaging: cmccullumsmith24328@direct.utoledo.edu

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

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    "number": "1801977954",
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
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            "city": "TYLER",
            "state": "TX",
            "postal_code": "757083154",
            "telephone_number": "903-877-7200",
            "fax_number": "903-877-5757"
        },
        {
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        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLUMSMITH",
        "first_name": "CHERYL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
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    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.