Dr. Cleon S Nunnally , MD
Physician β’ Jasper, TX
1275 Marvin Hancock Dr
Jasper, TX 759514935
Phone: 4093841951
Location details and other listingsThis profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
This NPI Is Deactivated in NPPES
NPPES lists this NPI as deactivated as of March 18, 2022; the reason is not published. The records below are historical. They do not show whether Dr. Cleon Nunnally currently practices or holds a license; check the state medical board for current license status.
Practice Location & Contact Primary Location
1275 Marvin Hancock Dr
Jasper, TX 759514935
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Compared with the same specialty in Jasper and Texas
Comparisons are not shown because NPPES lists this NPI as deactivated.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 282N00000X
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPPES lists this NPI as deactivated as of March 18, 2022; the reason is not published.
NPI status registered as active in NPPES database
Registered at 1275 MARVIN HANCOCK DR, JASPER, TX 759514935 (Tel: 4093841951)
Registered at 104 MOUNT NECHES RD, WOODVILLE, TX 759799627
Recorded as CLEON NUNNALLY, M.D
General Acute Care Hospital (license number reported to NPPES: TX C6458)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
104 Mount Neches Rd
Woodville, TX 759799627