Active NPI
Linda C Cunanan, MD
- Internal Medicine Physician
- Newnan, GA
National Provider Identifier
1013020791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20861
- Practice address
- 109 Bullsboro Dr
Newnan, GA 30263-1017 - Phone
- (770) 251-4140
- Fax
- (770) 251-7275
- NPI assigned
- Aug 16, 2006
- Last updated
- Dec 22, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20861 | GA | Primary |
Addresses
Primary practice location
109 Bullsboro Dr
Newnan, GA 30263-1017
Mailing address
15 Knight Dr
Newnan, GA 30263
Phone (770) 251-0135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00186205A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20861 | GA | MD | Internal Medicine Physician |
Interoperability endpoints
- linda.cunanan@gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1013020791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 KNIGHT DR",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30263",
"telephone_number": "770-251-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BULLSBORO DR",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631017",
"telephone_number": "770-251-4140",
"fax_number": "770-251-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNANAN",
"first_name": "LINDA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "20861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00186205A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.