Individual provider Active NPI

Corey A Cahill, CRNP

  • Family Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1518503135
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147137 Issued in AL
Practice address
55 Rowe Dr Ste B
Guntersville, AL 35976-7366
Phone
(256) 571-8450
Fax
(256) 840-4584
NPI assigned
Nov 19, 2019
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-147137 AL Primary
Registered Nurse 163W00000X 1-147137 AL

Addresses

Primary practice location

55 Rowe Dr Ste B
Guntersville, AL 35976-7366

Mailing address

55 Rowe Dr Ste B
Guntersville, AL 35976-7366
Phone (256) 571-8450

Other names 1

  • Corey A Cahill Professional name

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
I20200324001073 AL Practitioner - Nurse Practitioner 4082042148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masdon ENT and Facial Plastic Surgery, LLCGroup PAC ID 9234493891, 3 clinicians

Practice addresses (Care Compare)

55 Rowe Dr
Suite B
Guntersville, AL 35976-7366
Phone (256) 571-8450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-147137ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Doctors Family Medical Center LLC Single Specialty CurrentSince Mar 20, 2020 Accepting new patients
Valley Ear Nose and Throat Associates PC Single Specialty CurrentSince May 1, 2026 Accepting new patients

Locations

15232 Greenfield Dr
Athens, AL 35613
Phone (256) 233-1650

9238 Madison Blvd
Ste 117
Madison, AL 35758
Phone (256) 772-7148

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1518503135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROWE DR STE B",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767366",
            "telephone_number": "256-571-8450",
            "fax_number": "256-840-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROWE DR STE B",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767366",
            "telephone_number": "256-571-8450",
            "fax_number": "256-840-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "COREY",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147137",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-147137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "CAHILL",
            "middle_name": "A",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.