Provider Demographics
NPI:1669467288
Name:MEADOWS, CORNELIUS ROBINSON (MD)
Entity Type:Individual
Prefix:
First Name:CORNELIUS
Middle Name:ROBINSON
Last Name:MEADOWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7191 CAHABA VALLEY RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6402
Mailing Address - Country:US
Mailing Address - Phone:205-930-2060
Mailing Address - Fax:205-930-2063
Practice Address - Street 1:7191 CAHABA VALLEY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6402
Practice Address - Country:US
Practice Address - Phone:205-930-2060
Practice Address - Fax:205-930-2063
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023379207P00000X
AL23379207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051009623OtherBCBS
AL051529009OtherBCBS
AL009914081Medicaid
AL051556146Medicaid
AL7924249OtherAETNA
AL510I930124Medicare PIN
ALH26058Medicare UPIN
AL051556146Medicaid
AL051556146Medicare PIN
AL102I083447Medicare PIN
AL7924249OtherAETNA