Individual provider Active NPI

Angela Aurora Cunningham, NP-C

  • Family Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1790169274
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-078708 Issued in AL
Practice address
3840 Gault Ave N
Fort Payne, AL 35967-5211
Phone
(256) 844-4975
Fax
(256) 844-4978
NPI assigned
Jul 15, 2015
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010509 KY
Family Nurse Practitioner 363LF0000X 1-078708 AL Primary

Addresses

Primary practice location

3840 Gault Ave N
Fort Payne, AL 35967-5211

Mailing address

309 Taylor St
Scottsboro, AL 35768-2421
Phone (256) 259-5313

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014001196 AL Practitioner - Nurse Practitioner 9335455930 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Go Medical Corporation PC CurrentSince Feb 12, 2018 Accepting new patients
Medical Asset Group, LLC CurrentSince Apr 9, 2019 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Oct 3, 2016 Accepting new patients
Relief Spine and Pain Center LLC CurrentSince Jul 7, 2025 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Oct 3, 2016 Accepting new patients
Medical Asset Group, LLC CurrentSince Apr 9, 2019 Accepting new patients
Quality of Life Health Services, Inc. Current Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Go Medical Corporation PC PastSince Aug 18, 2024 Accepting new patients

Locations

3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234

603 Medical Center Pkwy
Boaz, AL 35957
Phone (256) 558-6000

15239 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7173

1403 Old Water Works Rd SW
Fort Payne, AL 35968
Phone (256) 646-7246

1825 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 845-5999

1216 Wilbanks Ave
Gadsden, AL 35903
Phone (256) 439-6384

1409 Springfield Ave
Gadsden, AL 35903
Phone (256) 439-6383

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGEDD

Organizations & group practices 11

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1790169274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421",
            "telephone_number": "256-259-5313",
            "fax_number": "256-259-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359675211",
            "telephone_number": "256-844-4975",
            "fax_number": "256-844-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ANGELA",
        "middle_name": "AURORA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010509",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-078708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.