Individual provider Active NPI

Cheunita R Cruz

  • Family Nurse Practitioner
  • Robins Air Force Base, GA
National Provider Identifier
1760467641
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R126162 Issued in GA
Practice address
100 Page Rd
Occupational Medicine Squadron
Robins Air Force Base, GA 30098-7627
Phone
(478) 926-0732
NPI assigned
Dec 13, 2005
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R126162 GA Primary

Addresses

Primary practice location

100 Page Rd
Occupational Medicine Squadron
Robins Air Force Base, GA 30098-7627

Mailing address

655 7TH St
Robins AFB, GA 31098-2227

Other names 1

  • Cheunita R Cruz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040823000350 GA Practitioner - Nurse Practitioner 7517931918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 Northeast Dr
Warner Robins, GA 31093-7303

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R126162GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Nov 5, 2025 Accepting new patients
Oconee Healthcare Center LLC PastSince Sep 25, 2019 Accepting new patients
Samuel E. Palmer, MD, PC PastSince Mar 1, 2021 Accepting new patients
Oconee Health Care Center LLC Past Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1760467641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 7TH ST",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PAGE RD",
            "address_2": "OCCUPATIONAL MEDICINE SQUADRON",
            "city": "ROBINS AIR FORCE BASE",
            "state": "GA",
            "postal_code": "300987627",
            "telephone_number": "478-926-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CHEUNITA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R126162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEUNITA",
            "last_name": "CRUZ",
            "middle_name": "R",
            "credential": "FNP C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Robins Air Force Base, GA

Sources for this page

Verify at the official NPI Registry.