Individual provider Active NPI

Tammy Cornelius, CRNP

  • Primary Care Nurse Practitioner
  • Eva, AL
National Provider Identifier
1366765232
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-066972 Issued in AL
Practice address
4208 Eva Rd Ste B
Eva, AL 35621-7629
Phone
(256) 302-3498
Fax
(256) 735-4054
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-066972 AL Primary

Addresses

Primary practice location

4208 Eva Rd Ste B
Eva, AL 35621-7629

Mailing address

503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 302-3498

Other identifiers 2

IdentifierTypeStateIssuer
117960MedicaidAL
E869OtherGRP MDCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100617000066 AL Practitioner - Nurse Practitioner 6709916711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Morgan Neurology 7 clinicians
Birmingham Internal Medicine Associates, LLC 123 clinicians

Practice addresses (Care Compare)

1215 7TH St SE
Suite 260
Decatur, AL 35601-3399
Phone (256) 350-4885

408 Clark St NE
Cullman, AL 35055-1953
Phone (256) 734-3202

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-066972ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Primary Care CurrentSince Dec 18, 2023 Accepting new patients
Decatur Morgan Neurology CurrentSince Aug 5, 2025 Accepting new patients
Decatur Neurology, PC CurrentSince Aug 5, 2025 Accepting new patients

Locations

1406 Wall St
Cullman, AL 35055
Phone (256) 736-2856

408 Clark St NE
Cullman, AL 35055
Phone (256) 734-3202

501 Clark St NE
Cullman, AL 35055
Phone (256) 739-9898

501 Clark St NE
Ste 380
Cullman, AL 35055
Phone (256) 739-9898

1215 7th St SE
Ste 240
Decatur, AL 35601
Phone (205) 355-5315

1215 7th St SE
Ste 260
Decatur, AL 35601
Phone (256) 350-4885

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Interoperability endpoints

  • Direct secure messaging: tammy.cornelius.1@15135.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1366765232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-302-3498",
            "fax_number": "256-735-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 EVA RD STE B",
            "city": "EVA",
            "state": "AL",
            "postal_code": "356217629",
            "telephone_number": "256-302-3498",
            "fax_number": "256-735-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "TAMMY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-066972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117960",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MDCR",
            "identifier": "E869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eva, AL

Sources for this page

Verify at the official NPI Registry.