KATHY CAMILLE CORNELIUS (MD) – Family Medicine Physician, NPI 1467514802
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,488 FAMILY PRACTICE in MD
Provider Addresses for KATHY CAMILLE CORNELIUS (MD)
1111 N Charles St
Baltimore, MD 212015505
Phone: (410) 837-2050
Type: Location
502 Pratt Ave NE
Huntsville, AL 35801
Phone: (256) 202-4222
Type: Location
751 PLEASANT ROW NW
HUNTSVILLE, AL 358162537
Phone: (256) 533-6311
Fax: (256) 536-3403
Type: Location
PO BOX 18488
HUNTSVILLE, AL 358048488
Phone: (256) 534-8659
Fax: (256) 533-0276
Type: Mailing
502, Pratt Avenue Northeast, Five Points Shopping Center, Five Points, Huntsville, Madison County, Alabama, 35801, United States
HUNTSVILLE, AL 358016317
Phone: (256) 202-4222
Fax: (302) 655-3541
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Lilly USA, LLC ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $26 |
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: 2022-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181023002531 | I | Family Practice | AL | TBD |
| I20220126001861 | I | Family Practice | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MD | 83036 | Hemoglobin A1C level | 24 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Family Practice | TN | |
| Nurse Practitioner | AL | |
| - | NM | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| Family Practice | FL | |
| - | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL |
Reviews
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