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Kendra Celeste Cunningham , LPN, MA

Licensed Practical Nurse β€’ Augusta, GA

Active NPI 1861697187 Individual Practitioner Female Practitioner
Practice location in NPPES

1243 Pine St
Augusta, GA 309013334

Call 6788878706 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1243 Pine St

Augusta, GA 309013334

Telephone 6788878706
Organization at the Same NPPES Address or Phone
Diamond And Pearls Affiliates L.l.c. Facility NPI 1669080313

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Augusta and Georgia

33 active clinicians are listed under Licensed Practical Nurse with a practice address in Augusta, GA (1,343 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

0% of these 33 clinicians have the CMS telehealth indicator.

0% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES GA 077864

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 20, 2020

Registered at 1243 PINE ST, AUGUSTA, GA 309013334 (Tel: 6788878706)

πŸ‘€
Provider Name / Credentials Updated July 20, 2020

Recorded as KENDRA CUNNINGHAM, LPN, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2020

Licensed Practical Nurse (license number reported to NPPES: GA 077864)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 512 WEATHERLY DR, STONE MOUNTAIN, GA 300835875 (Tel: 6788878706)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 512 WEATHERLY DR, STONE MOUNTAIN, GA 30083 (Tel: 6788878706)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KENDRA CUNNINGHAM, CNA MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Home Health (license number reported to NPPES: GA 170497)

🟒
Initial NPI Registration & Enumeration June 18, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861697187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2007
Last Update: July 20, 2020
Sole Proprietor: Yes

Mailing Address

512 Weatherly Dr

Stone Mountain, GA 30083

Phone: 6788878706

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.