Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAREN ROBERTS CUNNINGHAM AGNP-C
NPI 1124985700
Nurse Practitioner - Gerontology in Hephzibah, GA

Active since January 06, 2026PECOS EnrolledAccepts Medicare Assignment
5440 THRASHER LN, HEPHZIBAH, GA 30815(706) 284-5276 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Jan 29, 2026, Jan 6, 2026 (3 updates tracked since 2026).

About Karen Roberts Cunningham Agnp-c NPPES

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

KAREN ROBERTS CUNNINGHAM AGNP-C (NPI 1124985700) is an individual gerontology provider in Hephzibah, Georgia, licensed in Georgia (APRN-NP217080) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124985700
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKAREN ROBERTS CUNNINGHAMCredential: AGNP-C
Location Address5440 THRASHER LNHephzibah, GA 30815-7221
Mailing Address5440 Thrasher LnHephzibah, GA 30815-7221
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 6, 2026
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1124985700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · APRN-NP217080
5440 THRASHER LN, Hephzibah, GA 30815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Roberts Cunningham Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406333756
PECOS Enrollment IDI20260117000011
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

4

Medicare enrollment records show Karen Cunningham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2 GRIFFITH RD
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Physicians Services Group PC
  • 80 clinicians in this Medicare group
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 39 clinicians in this Medicare group
General Practice
7901 4TH ST N
St Petersburg, FL 33702
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30815 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Karen Cunningham's NPI number?

The NPI number for Karen Cunningham is 1124985700. It was assigned to this individual provider in the NPPES registry on January 6, 2026.

Where is Karen Cunningham located?

Karen Cunningham practices at 5440 Thrasher Ln, Hephzibah, GA 30815. The listed phone number is (706) 284-5276.

What is Karen Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Karen Cunningham enrolled in Medicare?

Yes. Karen Cunningham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karen Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Cunningham reassigns Medicare benefits to 4 organizations: Physicians Services Group, P.C. (Greenville, SC), Ultra Health LLC (Nashville, TN), Ultra Health Providers II LLC (Nashville, TN) and Innovation Wound Care PLLC (St Petersburg, FL). 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 Karen Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Cunningham was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.