Individual provider Active NPI

Kathy Camille Cornelius, MD

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1467514802
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD37020 Issued in AL
Practice address
751 Pleasant Row NW
Huntsville, AL 35816-2537
Phone
(256) 533-6311
Fax
(256) 536-3403
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD435367 PA
Family Medicine Physician 207Q00000X 37020 AL
Family Medicine Physician 207Q00000X MT188604 PA
Family Medicine Physician 207Q00000X D80148 MD
Family Medicine Physician 207Q00000X MD37020 AL Primary

Addresses

Primary practice location

751 Pleasant Row NW
Huntsville, AL 35816-2537

Mailing address

PO Box 18488
Huntsville, AL 35804-8488
Phone (256) 534-8659

Other practice location 1

1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050

Other practice location 2

502 Pratt Ave NE
Huntsville, AL 35801
Phone (256) 202-4222

Other identifiers 1

IdentifierTypeStateIssuer
314179MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181023002531 AL Practitioner - Family Practice 5496890584 Reassigns benefits to 2 organizations
I20220126001861 FL Practitioner - Family Practice 5496890584

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central North Alabama Health Services, Inc. 13 clinicians

Practice addresses (Care Compare)

751 Pleasant Row NW
Huntsville, AL 35816-2537
Phone (256) 533-6311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37020ALMDFamily Medicine Physician
MD37020ALMDFamily Medicine Physician
D80148MDMDFamily Medicine Physician
MD435367PAMDFamily Medicine Physician
MT188604PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Dec 6, 2018 Accepting new patients
Central North Alabama Health Services, Inc. CurrentSince Sep 11, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
Central North Alabama Health Services, Inc. CurrentSince Sep 11, 2023 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Dec 6, 2018 Accepting new patients

Locations

1005 W Market St
Ste B
Athens, AL 35611
Phone (256) 230-3061

1285 US Highway 72 E
Athens, AL 35611
Phone (256) 278-3004

2604 Highway 31 S
Decatur, AL 35603
Phone (256) 445-3050

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

751 Pleasant Row NW
Huntsville, AL 35816
Phone (256) 533-6311

110 Clinic St
New Market, AL 35761
Phone (256) 379-2101

8208 Highway 53
Toney, AL 35773
Phone (256) 382-7140

Interoperability endpoints

  • Direct secure messaging: kathy.cornelius.1@12822.direct.athenahealth.com
  • Direct secure messaging: kathyc.cornelius.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1467514802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18488",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048488",
            "telephone_number": "256-534-8659",
            "fax_number": "256-533-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PLEASANT ROW NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162537",
            "telephone_number": "256-533-6311",
            "fax_number": "256-536-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015505",
            "country_code": "US",
            "telephone_number": "410-837-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Pratt Ave NE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35801",
            "country_code": "US",
            "telephone_number": "256-202-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "KATHY",
        "middle_name": "CAMILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD435367",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "37020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT188604",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D80148",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD37020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314179",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.