Individual provider Active NPI

Melody Keyonn Cunningham, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1104505650
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN240517 Issued in GA
Practice address
3050 Cobb Pkwy NW Apt 5112
Kennesaw, GA 30152-6562
Phone
(770) 634-4134
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN240517 GA Primary

Addresses

Primary practice location

3050 Cobb Pkwy NW Apt 5112
Kennesaw, GA 30152-6562

Mailing address

3050 Cobb Pkwy NW Apt 5112
Kennesaw, GA 30152-6562
Phone (770) 634-4134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000002 GA Order and Referring Only - Nurse Practitioner 8123564564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Interoperability endpoints

  • Direct secure messaging: melody.cunningham@nmol.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1104505650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 COBB PKWY NW APT 5112",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526562",
            "telephone_number": "770-634-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 COBB PKWY NW APT 5112",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526562",
            "telephone_number": "770-634-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MELODY",
        "middle_name": "KEYONN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN240517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.