Organization Active NPI

Cunningham Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Birmingham, AL
National Provider Identifier
1730185455
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
09827 Issued in AL
Legal business name
CUNNINGHAM PATHOLOGY, LLC
Practice address
924 Montclair Rd
Ste 200
Birmingham, AL 35213-1200
Phone
(205) 591-7999
Fax
(205) 591-5051
NPI assigned
Jun 27, 2005
Organization subpart
Yes
Parent organization
CUNNINGHAM PATHOLOGY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Sheila Hall
Title
Credentialing Coordinator
Phone
(205) 591-7999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 09827 AL Primary
Clinical Medical Laboratory 291U00000X 09827 AL

Addresses

Primary practice location

924 Montclair Rd
Ste 200
Birmingham, AL 35213-1200

Mailing address

924 Montclair Rd
Ste 200
Birmingham, AL 35213-1200
Phone (205) 591-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040422001004 AL Part B Supplier - Independent Clinical Laboratory 2668468802 Receives reassigned benefits from 1 practitioner
Practice locations: Tuscaloosa, AL; Northport, AL; Birmingham, AL; Cullman, AL
O20080218000071 AL Part B Supplier - Clinic/Group Practice 2668468802 Receives reassigned benefits from 18 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL; Tuscaloosa, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Valerie R Wheeler-Mangi

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1730185455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MONTCLAIR RD",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131200",
            "telephone_number": "205-591-7999",
            "fax_number": "205-591-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MONTCLAIR RD",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131200",
            "telephone_number": "205-591-7999",
            "fax_number": "205-591-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM PATHOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUNNINGHAM PATHOLOGY, LLC",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "205-591-7999"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "09827",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "09827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.