Active NPI
Donna Mae Cordes, CRNP
- Nurse Practitioner
- Anniston, AL
National Provider Identifier
1164445664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1044510
- Practice address
- 801 Noble St # 400
Anniston, AL 36201-5698 - Phone
- (256) 770-4083
- Fax
- (256) 405-4997
- NPI assigned
- Jul 25, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1044510 | AL | Primary |
Addresses
Primary practice location
801 Noble St # 400
Anniston, AL 36201-5698
Mailing address
1411 Piedmont Cutoff
Gadsden, AL 35903-2708
Phone (256) 492-0131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128480 | Medicaid | AL |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1044510 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anniston Pathology | Current | Accepting new patients | |
| TMS Wellness Institute, Inc. | Current | Accepting new patients | |
| SVPS Psychiatric Services LLC | Past | Accepting new patients | |
| Wilfredo Grana, M.D.,P.C. | Past | Accepting new patients | |
| Allergy Associates, Inc | Past | Accepting new patients | |
| William J. Fergson, Jr., MD PC | Nurse Practitioner | Past | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
801 Noble St
Ste 400
Anniston, AL 36201
Phone (256) 405-9097
Interoperability endpoints
- donna.cordes.p2@direct.alegiscare.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Anniston, AL
- NPI 1053387654
-
- Psychiatry Physician
- Anniston, AL
- NPI 1992041164
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1447528591
-
- Internal Medicine Physician
- Anniston, AL
- NPI 1578619102
-
- Allergy & Immunology Physician
- Chesterfield, MO
- NPI 1326191537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1164445664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 PIEDMONT CUTOFF",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359032708",
"telephone_number": "256-492-0131",
"fax_number": "256-494-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NOBLE ST # 400",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362015698",
"telephone_number": "256-770-4083",
"fax_number": "256-405-4997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDES",
"first_name": "DONNA",
"middle_name": "MAE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1044510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128480",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.