Doctor profile · Federal record
Dr. Cody Cissom, D.O.
Internal Medicine Physician · Tupelo, MS
- NPI 1104511153
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
830 S Gloster St
Tupelo, MS 388014996
(662) 377-3000
Credentials & registration
- NPI registered
- April 2023 — 3 yrs on file
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Mississippi #PENDING
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104511153. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$73
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 2 | $31.59 | |
| Collegium Pharmaceutical, Inc. | 1 | $22.34 | |
| AstraZeneca Pharmaceuticals LP | 1 | $18.70 |
By nature of payment
Frequently asked questions
What is Dr. Cody Cissom's medical specialty?
Dr. Cody Cissom practices Internal Medicine Physician in Tupelo, MS.
Where does Dr. Cody Cissom practice?
Dr. Cody Cissom practices at 830 S Gloster St, Tupelo, MS 388014996. Office phone: 6623773000.
What is Dr. Cody Cissom's NPI?
Dr. Cody Cissom's National Provider Identifier (NPI) is 1104511153, issued by NPPES.