Active NPI
Sumner R Cullom, M.D.
- General Practice Physician
- Osceola, AR
National Provider Identifier
1902885015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ARC4583
- Practice address
- 700 W Keiser Ave
Osceola, AR 72370-3506 - Phone
- (870) 563-0757
- Fax
- (870) 563-0754
- NPI assigned
- Jan 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ARC4583 | AR | Primary |
Addresses
Primary practice location
700 W Keiser Ave
Osceola, AR 72370-3506
Mailing address
PO Box 1331
Jonesboro, AR 72403-1331
Phone (870) 932-7024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103504001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102000768 | AR | Practitioner - Family Practice | 4385556364 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Bernards Physician Clinics Inc
Practice addresses (Care Compare)
700 W Keiser Ave
Osceola, AR 72370-3506
Phone (870) 563-0757
Hospital & facility affiliations
- Elite Home Health
- Home Health Professionals Inc
- Trinity North Home Health LLC
- St Bernards Medical Center
- South Mississippi County Regional Medical Center
- Great River Medical Center
- Baptist Memorial Hospital Jonesboro, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARC4583 | AR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
415 E Matthews Ave
Jonesboro, AR 72401
700 W Keiser Ave
Osceola, AR 72370
Phone (870) 563-0757
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
-
- Internal Medicine Physician
- Jonesboro, AR
- NPI 1407577216
-
- Primary Care Clinic/Center
- Jonesboro, AR
- NPI 1275204307
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Marion, AR
- NPI 1306247770
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
Hospital
-
- Home Health Agency
- Blytheville, AR
- NPI 1609914464
-
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
Hospital
-
- Rural Acute Care Hospital
- Osceola, AR
- NPI 1366685992
Hospital
-
- Home Health Agency
- Jonesboro, AR
- NPI 1467174052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1902885015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1331",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031331",
"telephone_number": "870-932-7024",
"fax_number": "870-930-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W KEISER AVE",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "723703506",
"telephone_number": "870-563-0757",
"fax_number": "870-563-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLOM",
"first_name": "SUMNER",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AR",
"license": "ARC4583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103504001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Osceola, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.