Individual provider Active NPI

Cheryl M Kirk, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Huntsville, AL
National Provider Identifier
1700880531
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
23321 Issued in AL
Practice address
2904 Westcorp Blvd SW
Suite 107/108
Huntsville, AL 35805-6437
Phone
(256) 533-1480
NPI assigned
Jun 9, 2005
Last updated
Jul 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 23321 AL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18524 SC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 82040 NC

Addresses

Primary practice location

2904 Westcorp Blvd SW
Suite 107/108
Huntsville, AL 35805-6437

Mailing address

2904 Westcorp Blvd SW
Suite 108
Huntsville, AL 35805-6437
Phone (256) 533-1480

Other identifiers 2

IdentifierTypeStateIssuer
051095097OtherALBCBS
000095097MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000182 AL Practitioner - Pathology 3971685439 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23321ALMDAnatomic Pathology & Clinical Pathology Physician
82040NCMDAnatomic Pathology & Clinical Pathology Physician
18524SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cunningham Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 19, 2025 Accepting new patients
Cytopath, PC Anatomic Pathology & Clinical Pathology CurrentSince Feb 27, 2025 Accepting new patients
Cunningham Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 19, 2025 Accepting new patients
Cytopath PC Anatomic Pathology & Clinical Pathology CurrentSince Feb 27, 2025 Accepting new patients

Locations

1004 1st St N
Ste 200
Alabaster, AL 35007
Phone (205) 664-9797

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

924 Montclair Rd
Birmingham, AL 35213

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

Organizations & group practices 4

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1700880531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 WESTCORP BLVD SW",
            "address_2": "SUITE 108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056437",
            "telephone_number": "256-533-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 WESTCORP BLVD SW",
            "address_2": "SUITE 107/108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056437",
            "telephone_number": "256-533-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "CHERYL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "23321",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "18524",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "82040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051095097",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095097",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.