Active NPI
Tammy Cornelius, CRNP
- Primary Care Nurse Practitioner
- Eva, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1-066972
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117960 | Medicaid | AL | |
| E869 | Other | GRP 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NeurologyBirmingham Internal Medicine Associates, LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-066972 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Internal Medicine Associates, LLC | Primary Care | Current | Accepting new patients |
| Decatur Morgan Neurology | Current | Accepting new patients | |
| Decatur Neurology, PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1598796542
AL, Primary Care
-
- Neurology Physician
- Decatur, AL
- NPI 1457377913
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.