Individual provider Active NPI

Cortessia Badie Sullivan, DNP, CRNP

  • Family Nurse Practitioner
  • Homewood, AL
National Provider Identifier
1487046132
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018016968 Issued in AL
Practice address
2700 Rogers Dr Ste 102
Homewood, AL 35209-2018
Phone
(205) 379-0975
Fax
(205) 379-0943
NPI assigned
Mar 3, 2015
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2018016965 AL
Family Nurse Practitioner 363LF0000X 2018016968 AL Primary

Addresses

Primary practice location

2700 Rogers Dr Ste 102
Homewood, AL 35209-2018

Mailing address

2700 Rogers Dr Ste 102
Homewood, AL 35209-2018
Phone (205) 379-0975

Other practice location 1

2817 30th Ave N
Birmingham, AL 35207-4541
Phone (205) 407-5600

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
I20190426001792 AL Practitioner - Nurse Practitioner 1951643766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

712 25TH St N
Birmingham, AL 35203-2400
Phone (205) 323-5311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018016965ALMDAcute Care Nurse Practitioner
2018016968ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Medical Program, Inc. Single Specialty Current Accepting new patients
Alabama Regional Medical Services CurrentSince Dec 16, 2023 Accepting new patients
Rural Health Medical Program, Inc Single Specialty Current Accepting new patients
Rural Health Medical Program, Inc Single Specialty Current Accepting new patients
Rural Health Medical Program, Inc Single Specialty Current Accepting new patients
Alabama Regional Medical Services Single Specialty CurrentSince Dec 16, 2023 Accepting new patients
Rural Health Medical Program, Inc. Single Specialty CurrentSince Feb 24, 2019 Accepting new patients
Rural Health Medical Program, Inc Single Specialty Current Accepting new patients
Rural Health Medical Program, Inc. Single Specialty Current Accepting new patients
Rural Health Medical Program, Inc Single Specialty CurrentSince Feb 24, 2019 Accepting new patients
Rural Health Medical Program, Inc Single Specialty Current Accepting new patients

Locations

2817 30th Ave N
Birmingham, AL 35207
Phone (205) 323-4548

712 25th St N
Birmingham, AL 35203
Phone (205) 323-5311

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

417 19th Street Ensley
Ensley, AL 35218
Phone (205) 547-2344

1310 Washington St
Marion, AL 36756
Phone (334) 683-2073

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 874-7428

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1487046132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ROGERS DR STE 102",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092018",
            "telephone_number": "205-379-0975",
            "fax_number": "205-379-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROGERS DR STE 102",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092018",
            "telephone_number": "205-379-0975",
            "fax_number": "205-379-0943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 30th Ave N",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352074541",
            "country_code": "US",
            "telephone_number": "205-407-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CORTESSIA",
        "middle_name": "BADIE",
        "credential": "DNP, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "2018016965",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "2018016968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.