Active NPI
Kerri E. Sumler, FNP-C
- Family Nurse Practitioner
- Michie, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28583
- Practice address
- 6659 Michie Pebble Hill Rd
Michie, TN 38357-5115 - Phone
- (731) 632-1783
- Fax
- (731) 632-1786
- NPI assigned
- Mar 28, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28583 | TN | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 28583 | TN | |
| Nurse Practitioner | 363L00000X | 28583 | TN |
Addresses
Primary practice location
6659 Michie Pebble Hill Rd
Michie, TN 38357-5115
Mailing address
6659 Michie Pebble Hill Rd
Michie, TN 38357-5115
Phone (731) 632-1783
Other names 1
- Kerri E Russom
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: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6659 Michie Pebble Hill Rd
Michie, TN 38357-5115
Phone (731) 632-1783
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28583 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Hospitalist Group | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Michie Medical Clinic, Inc. | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients |
Locations
611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961
703 Alcorn Dr
Ste 109
Corinth, MS 38834
Phone (662) 286-1499
401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255
401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565
401 Alcorn Dr
Ste 2B
Corinth, MS 38834
Phone (662) 293-1680
6659 Michie Pebble Hill Rd
Michie, TN 38357
Phone (731) 227-5211
Interoperability endpoints
- kerrisumler@magnolia.medalliesdirect.net
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400014
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Michie, TN
- NPI 1861695900
-
- Hospitalist Physician
- Corinth, MS
- NPI 1457547838
-
- Internal Medicine Physician
- Corinth, MS
- NPI 1649721457
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
- Internal Medicine Physician
- Corinth, MS
- NPI 1093546566
-
- Certified Registered Nurse Anesthetist
- Corinth, MS
- NPI 1245410398
-
- Cardiovascular Disease Physician
- Corinth, MS
- NPI 1497913321
-
- Pulmonary Disease Physician
- Corinth, MS
- NPI 1689906117
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1922266857
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Savannah, TN
- NPI 1245221795
-
- General Acute Care Hospital
- Savannah, TN
- NPI 1699754812
-
- Home Health Agency
- Parsons, TN
- NPI 1548211717
-
- Home Health Agency
- Corinth, MS
- NPI 1063576247
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1902301237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6659 MICHIE PEBBLE HILL RD",
"city": "MICHIE",
"state": "TN",
"postal_code": "383575115",
"telephone_number": "731-632-1783",
"fax_number": "731-632-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6659 MICHIE PEBBLE HILL RD",
"city": "MICHIE",
"state": "TN",
"postal_code": "383575115",
"telephone_number": "731-632-1783",
"fax_number": "731-632-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMLER",
"first_name": "KERRI",
"middle_name": "E.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "28583",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "28583",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "28583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "RUSSOM",
"middle_name": "E",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Michie, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.