Individual provider Active NPI

Monique Cheryl Adu, DO

  • Pediatrics Physician
  • Albany, GA
National Provider Identifier
1811286339
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
072282 Issued in GA
Practice address
1712C E Broad Ave
Albany, GA 31705-2611
Phone
(229) 405-6249
Fax
(229) 329-4373
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS13860 FL
Pediatrics Physician 208000000X 072282 GA Primary

Addresses

Primary practice location

1712C E Broad Ave
Albany, GA 31705-2611

Mailing address

204 N Westover Blvd
Albany, GA 31707-2983
Phone (229) 405-6249

Other identifiers 1

IdentifierTypeStateIssuer
019050700MedicaidFL

Other names 1

  • Monique Cheryl Cunningham-Lindsay Former 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013001498 GA Practitioner - Pediatric Medicine 7911127063 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13860FLMDPediatrics Physician
072282GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. CurrentSince Nov 13, 2023 Accepting new patients

Locations

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

1801 Palmyra Rd
Albany, GA 31701
Phone (229) 434-1400

1712 E Broad Ave
#C
Albany, GA 31705
Phone (229) 405-6249

1712 E Broad Ave
Ste C
Albany, GA 31705
Phone (229) 639-3103

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

Interoperability endpoints

  • Direct secure messaging: monique.adu@aaphc.eclinicaldirectplus.com
  • Direct secure messaging: madu@pa.trimed.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1811286339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072983",
            "telephone_number": "229-405-6249",
            "fax_number": "229-329-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712C E BROAD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052611",
            "telephone_number": "229-405-6249",
            "fax_number": "229-329-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU",
        "first_name": "MONIQUE",
        "middle_name": "CHERYL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS13860",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "072282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019050700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "CUNNINGHAM-LINDSAY",
            "middle_name": "CHERYL",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.