Organization Active NPI

Kala K. Cunard, M.D., L.L.C.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1831535939
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KALA K. CUNARD, M.D., L.L.C.
Practice address
330 Hospital Dr
Suite 304
Macon, GA 31217-3899
Phone
(478) 742-1010
Fax
(478) 742-4561
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Tammy R Cobb
Title
Assistant Manager
Phone
(478) 742-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

330 Hospital Dr
Suite 304
Macon, GA 31217-3899

Mailing address

330 Hospital Dr
Suite 304
Macon, GA 31217-3899
Phone (478) 742-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000255 GA Part B Supplier - Clinic/Group Practice 7012154719 Receives reassigned benefits from 3 practitioners
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1831535939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR",
            "address_2": "SUITE 304",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173899",
            "telephone_number": "478-742-1010",
            "fax_number": "478-742-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR",
            "address_2": "SUITE 304",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173899",
            "telephone_number": "478-742-1010",
            "fax_number": "478-742-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALA K. CUNARD, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "478-742-8760"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.