TYNEISHIA CUNNINGHAM KING – Family Nurse Practitioner, NPI 1235788415
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for TYNEISHIA CUNNINGHAM KING
1802, Presbyterian Drive Southwest, Decatur, Morgan County, Alabama, 35603, United States
DECATUR, AL 356031807
Phone: (256) 301-5405
Type: Mailing
1802 Presbyterian Dr SW
Decatur, AL 356031807
Phone: (256) 301-5405
Fax: (256) 306-4609
Type: Location
1207 E FORREST ST STE 204D
ATHENS, AL 356132057
Phone: (256) 301-5405
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).
Total Amount
$140
General + Research + Ownership
Payments
2
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $125 |
| PFIZER INC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-05-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210504000432 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 259 | 54 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 238 | 60 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 231 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 170 | 146 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 115 | 103 | $0 |
Insurance plans in this area (ZIP 35603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL |
Reviews
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