Individual provider Active NPI

Kirstie Donnyelle Cunningham, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1376703975
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
048766 Issued in GA
Practice address
2950 Stone Hogan Connector Rd SW Ste B
Atlanta, GA 30331-2837
Phone
(470) 336-9616
Fax
(678) 999-2726
NPI assigned
Dec 18, 2006
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 048766 GA Primary

Addresses

Primary practice location

2950 Stone Hogan Connector Rd SW Ste B
Atlanta, GA 30331-2837

Mailing address

2950 Stone Hogan Connector Rd SW Ste B
Atlanta, GA 30331-2837
Phone (470) 336-9616

Other practice location 1

720 Westview Drive, SW
Harris Building Suite 100-a
Atlanta, GA 30310-8512
Phone (404) 756-1400

Other identifiers 1

IdentifierTypeStateIssuer
825508412AOMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000352 GA Practitioner - Obstetrics/GynecologyPractitioner - General Practice 7012001647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: General Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2550 Windy Hill Rd SE
Suite 321
Marietta, GA 30067-8655
Phone (978) 607-0564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Metro Health and Wellness, LLC Obstetrics & Gynecology CurrentSince Feb 18, 2020 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Dec 31, 2019 Accepting new patients
Morehouse Healthcare, Inc. Obstetrics & Gynecology CurrentSince Apr 9, 2017 Accepting new patients
Rainbow Group Services, Inc. Past Accepting new patients
First Choice Group Services Inc. Past Accepting new patients
Bibb Group Services Inc. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

2950 Stone Hogan Connector Rd SW
Bldg B
Atlanta, GA 30331
Phone (404) 781-2800

2950 Stone Hogan Rd
Bldg 3B
Atlanta, GA 30331
Phone (404) 228-2589

720 Westview Dr SW
Ste 100A
Atlanta, GA 30310

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

2550 Windy Hill Rd SE
Ste 321
Marietta, GA 30067
Phone (770) 644-1635

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7967/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kcunningham125254@directwellstar.org
  • Direct secure messaging: kirstie.cunningham.1@7967.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1376703975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONNECTOR RD SW STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "470-336-9616",
            "fax_number": "678-999-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONNECTOR RD SW STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "470-336-9616",
            "fax_number": "678-999-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 WESTVIEW DRIVE, SW",
            "address_2": "HARRIS BUILDING SUITE 100-A",
            "address_purpose": "LOCATION",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303108512",
            "country_code": "US",
            "telephone_number": "404-756-1400",
            "fax_number": "404-756-5274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KIRSTIE",
        "middle_name": "DONNYELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "048766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825508412AO",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.