Individual provider Active NPI

Katlyn Sides Cummings, DO

  • Family Medicine Physician
  • Dora, AL
National Provider Identifier
1174308274
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3991 Issued in AL
Practice address
2165 Highway 78 Ste 100
Dora, AL 35062-4539
Phone
(205) 648-4567
Fax
(205) 648-4551
NPI assigned
Aug 28, 2023
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3991 AL Primary

Addresses

Primary practice location

2165 Highway 78 Ste 100
Dora, AL 35062-4539

Mailing address

2165 Highway 78 Ste 100
Dora, AL 35062-4539
Phone (205) 648-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1678 Montgomery Hwy 104
PMB 317
Birmingham, AL 35216-4900

2165 Hwy 78
Suite 100
Dora, AL 35062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1174308274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 HIGHWAY 78 STE 100",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350624539",
            "telephone_number": "205-648-4567",
            "fax_number": "205-648-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 HIGHWAY 78 STE 100",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350624539",
            "telephone_number": "205-648-4567",
            "fax_number": "205-648-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KATLYN",
        "middle_name": "SIDES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "3991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dora, AL

Sources for this page

Verify at the official NPI Registry.