Donald R Cornelius, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.7394 Issued in AL

Practice address

1 Independence PLZ Ste 600
Homewood, AL 35209-2659

Phone

(205) 709-1337

Fax

(205) 267-0220

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Alabama School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• River Region Psychiatry Associates LLC

  dba Ally Psychiatry

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497
  Medicare reassignment Care Compare group NPD
• Pain and Rehabilitation Center Inc

  dba Pain and Rehabilitation Institute

  • Mental Health Counselor
  • Hoover, AL
  • NPI 1518065994
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1700873825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 600",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092659",
            "telephone_number": "205-709-1337",
            "fax_number": "205-267-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 600",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092659",
            "telephone_number": "205-709-1337",
            "fax_number": "205-267-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "00007394",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009968405",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51522658",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kate Collins, CPM
• Colon & Rectal Surgical Associates of Birmingham, P.C.
• Jason Nathaniel Colquitt, PHARMD.
• Comeunity Care LLC
• Complete Feet, LLC
• Cornerstone Medical Inc (Cornerstone Medical)
• Sydney Correll
• Victor Joseph Costa, C.PED
• Sarah Cothron, OTD, OTR/L
• Jared Michael Cox, MD

• Psychiatry Physician in Homewood, AL
• Providers in Homewood, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.

Verify at the official NPI Registry.