Active NPI
Cheryl B McCullumsmith, MD
- Psychiatry Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- U0038
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051538447 | Medicaid | AL | |
| 051547242 | Other | AL | BCBS |
| 51599076 | Other | AL | BCBS |
| P00413953 | Other | AL | RAILROAD MEDICARE |
| 009940507 | Medicaid | AL | |
| 009940506 | Medicaid | AL | |
| 100306 | Medicaid | AL | |
| 123968 | Medicaid | AL | |
| 009940508 | Medicaid | AL | |
| 051538446 | Other | AL | BCBS |
| 009940959 | Medicaid | AL | |
| 051110716 | Other | AL | BCBS |
| 051538445 | Other | AL | BCBS |
| 051539055 | Other | AL | BCBS |
| 111428 | Medicaid | AL | |
| 04401803 | Medicaid | MS | |
| 051547596 | Other | AL | BCBS |
| 101156 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IN, IL, WI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35.122145 | OH | MD | Psychosomatic Medicine Physician |
| 27447 | AL | MD | Psychiatry Physician |
| 036177373 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients | |
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | 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
- cmccullumsmith868160@ahs.direct-ci.com
- 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1801977954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-7200",
"fax_number": "903-877-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-7200",
"fax_number": "903-877-5757"
}
],
"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"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "U0038",
"primary": true
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "OH",
"license": "35.122145",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01098067A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036177373",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "27447",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051538447",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051547242",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51599076",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00413953",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009940507",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009940506",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100306",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123968",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009940508",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051538446",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009940959",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051110716",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051538445",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051539055",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111428",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04401803",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051547596",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101156",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.