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DR. CLAUDE H. RENE-CUNNINGHAM DNP, APN
NPI 1013794775
Nurse Practitioner - Family in East Point, GA

Active since September 14, 2023PECOS Enrolled
1526 E FORREST AVE, EAST POINT, GA 30344(201) 227-4223 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Claude H. Rene-cunningham Dnp, Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLAUDE H. RENE-CUNNINGHAM DNP, APN (NPI 1013794775) is an individual family provider in East Point, Georgia, licensed in Georgia (GAA-NP002287) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013794775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. CLAUDE H. RENE-CUNNINGHAMCredential: DNP, APN
Location Address1526 E FORREST AVEEast Point, GA 30344-6986
Mailing Address1526 E Forrest Ave Ste 230East Point, GA 30344-6986
Phone(201) 227-4223
Sole ProprietorNo
Enumeration DateSeptember 14, 2023
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1013794775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · GAA-NP002287
1526 E FORREST AVE, East Point, GA 30344
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Claude H. Rene-cunningham Dnp, Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Claude Rene-cunningham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Health
12 mi
Psychiatric/Mental Health
3379 PEACHTREE RD NE
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1295531002 (281) 214-9823
Dr Medical Associates LLC
19 mi
Geriatric Medicine
6853 DOUGLAS BLVD STE A
Douglasville, GA 30135
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1982346151 (770) 731-1114
Ennoble Hc Dmv LLC
564 mi
Geriatric Medicine
8115 MAPLE LAWN BLVD STE 350
Fulton, MD 20759
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group
NPI 1104492115 (862) 812-9010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
41 services30 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAZE SPECIALTY PHARMACY, LLC
Durable Medical Equipment & Medical Supplies
1526 E FORREST AVE, SUITE 102
EAST POINT, GA 30344
Fulton County (404) 761-4448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claude Rene-cunningham's NPI number?

The NPI number for Claude Rene-cunningham is 1013794775. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Claude Rene-cunningham located?

Claude Rene-cunningham practices at 1526 E Forrest Ave, East Point, GA 30344. The listed phone number is (201) 227-4223.

What is Claude Rene-cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claude Rene-cunningham enrolled in Medicare?

Yes. Claude Rene-cunningham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Claude Rene-cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claude Rene-cunningham reassigns Medicare benefits to 3 organizations: Interventional Health (Atlanta, GA), Dr Medical Associates LLC (Douglasville, GA) and Ennoble Hc Dmv LLC (Fulton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claude Rene-cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claude Rene-cunningham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Claude Rene-cunningham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claude Rene-cunningham was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.