Organization Active NPI

Larry E Cummins MD PC

  • Psychiatry Physician
  • Shelby, NC
National Provider Identifier
1922214972
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28744 Issued in NC
Legal business name
LARRY E CUMMINS MD PC
Practice address
1333 Fallston Rd
Shelby, NC 28150-3301
Phone
(704) 482-2207
Fax
(704) 482-2254
NPI assigned
May 15, 2007
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Dr. Larry E Cummins, MD
Title
Ceo
Phone
(704) 482-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 28744 NC Primary

Addresses

Primary practice location

1333 Fallston Rd
Shelby, NC 28150-3301

Mailing address

PO Box 1620
Shelby, NC 28151-1620
Phone (704) 482-2207

Other identifiers 2

IdentifierTypeStateIssuer
232138OtherNCMEDICARE PTAN
8926461MedicaidNC

National Provider Directory

National Provider Directory

Locations

215 S Washington St
Ste 106
Shelby, NC 28150
Phone (704) 482-2207

809 N Lafayette St
Ste B
Shelby, NC 28150
Phone (704) 419-3553

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1922214972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1620",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281511620",
            "telephone_number": "704-482-2207",
            "fax_number": "704-482-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 FALLSTON RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503301",
            "telephone_number": "704-482-2207",
            "fax_number": "704-482-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E CUMMINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-482-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "28744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "232138",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8926461",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.