Active NPI
Angelia H Elliott, M.D.
- Family Medicine Physician
- Cullman, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22784
- Practice address
- 1912 Al Highway 157
Cullman, AL 35058-0609 - Phone
- (256) 737-2000
- Fax
- (256) 737-2152
- NPI assigned
- Nov 8, 2005
- Last updated
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22784 | AL | Primary |
Addresses
Primary practice location
1912 Al Highway 157
Cullman, AL 35058-0609
Mailing address
503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-1759
Other practice location 1
408 Clark St NE
Cullman, AL 35055-1953
Phone (256) 734-3202
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009960750 | Medicaid | AL | |
| E873 | Other | MEDICARE GROUP ID # | |
| 51501647 | Other | AL | BCBS OF AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1912 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 737-2682
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22784 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Regional Medical Group Hospitalists LLC | Current | Accepting new patients | |
| Cullman Regional Medical Center, Inc | Past | Accepting new patients | |
| Complete Family Medicine | Family Medicine | Past | Accepting new patients |
| Randolph Health Systems, LLC | Past | Accepting new patients | |
| Correct Care, Inc. | Past | Accepting new patients | |
| Complete Family Practice | Family Medicine | Past | Accepting new patients |
Locations
1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDFDCD
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Cullman, AL
- NPI 1023642568
-
dba Alabama Speciality Clinic
- Family Medicine Physician
- Cullman, AL
- NPI 1154362655
-
dba ASC Occupational Health
- Family Medicine Physician
- Cullman, AL
- NPI 1790810950
-
- General Acute Care Hospital
- Cullman, AL
- NPI 1114919339
-
- General Acute Care Hospital
- Roanoke, AL
- NPI 1194892257
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cullman, AL
- NPI 1114919339
-
dba Enhabit Hospice Birmingham
- Community Based Hospice Care Agency
- Hoover, AL
- NPI 1609337229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1780665703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 CLARK ST NE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350551921",
"telephone_number": "256-739-1759",
"fax_number": "256-739-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 AL HIGHWAY 157",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580609",
"telephone_number": "256-737-2000",
"fax_number": "256-737-2152"
}
],
"practiceLocations": [
{
"address_1": "408 Clark St NE",
"address_purpose": "LOCATION",
"city": "Cullman",
"state": "AL",
"postal_code": "350551953",
"country_code": "US",
"telephone_number": "256-734-3202",
"fax_number": "256-734-4668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT",
"first_name": "ANGELIA",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "22784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009960750",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID #",
"identifier": "E873",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51501647",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.