Active NPI
Cheryl Jean Cundy, M.S., A.T.,C.
- Athletic Trainer
- Atlanta, GA
National Provider Identifier
1104847649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 106939
- Practice address
- 303 Parkway Dr NE
Atlanta, GA 30312-1212 - Phone
- (404) 265-4255
- Fax
- (404) 265-4989
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 106939 | MO | Primary |
Addresses
Primary practice location
303 Parkway Dr NE
Atlanta, GA 30312-1212
Mailing address
303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (404) 265-4255
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106939 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1104847649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 PARKWAY DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121212",
"telephone_number": "404-265-4255",
"fax_number": "404-265-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PARKWAY DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121212",
"telephone_number": "404-265-4255",
"fax_number": "404-265-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDY",
"first_name": "CHERYL",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "M.S., A.T.,C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "106939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.