Active NPI
Andrew T Cunningham, M.D.
- Family Medicine Physician
- Columbia, SC
National Provider Identifier
1174799944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 278153
- Practice address
- 2 Office Park CT Ste 103
Columbia, SC 29223-5948 - Phone
- (434) 248-7508
- NPI assigned
- May 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 265062 | MA | |
| Family Medicine Physician | 207Q00000X | 36138997 | IL | |
| Family Medicine Physician | 207Q00000X | 4301110449 | MI | |
| Family Medicine Physician | 207Q00000X | MD042785 | DC | |
| Family Medicine Physician | 207Q00000X | MD457790 | PA | |
| Family Medicine Physician | 207Q00000X | ME130291 | FL | |
| Family Medicine Physician | 207Q00000X | 01076738A | IN | |
| Family Medicine Physician | 207Q00000X | 101260142 | VA | |
| Family Medicine Physician | 207Q00000X | DR.55071 | CO | |
| Family Medicine Physician | 207Q00000X | 35.129569 | OH | |
| Family Medicine Physician | 207Q00000X | 1.055403 | CT | |
| Family Medicine Physician | 207Q00000X | 2016-01630 | NC | |
| Family Medicine Physician | 207Q00000X | 25MA09870700 | NJ | |
| Family Medicine Physician | 207Q00000X | A110180 | CA | |
| Family Medicine Physician | 207Q00000X | 278153 | NY | Primary |
Addresses
Primary practice location
2 Office Park CT Ste 103
Columbia, SC 29223-5948
Mailing address
64 Bleecker St # 151
New York, NY 10012-2410
Phone (302) 313-1584
Other practice location 1
3958 Brown Park Dr Ste D
Hilliard, OH 43026-1160
Phone (434) 248-7508
Other practice location 2
600 N 2nd St
Harrisburg, PA 17101-1092
Phone (434) 248-7508
Other practice location 3
382 NE 191st St
Miami, FL 33179-3899
Phone (434) 248-7508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602002214 | CO | Order and Referring Only - Family Practice | 7416118567 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110180 | CA | MD | General Practice Dentistry |
| A110180 | CA | MD | Family Medicine Physician |
| DR.55071 | CO | MD | Family Medicine Physician |
| 1.055403 | CT | MD | Family Medicine Physician |
| MD042785 | DC | MD | Family Medicine Physician |
| ME130291 | FL | MD | Family Medicine Physician |
| 36138997 | IL | MD | Family Medicine Physician |
| 01076738A | IN | MD | Family Medicine Physician |
| 265062 | MA | MD | Family Medicine Physician |
| 4301110449 | MI | MD | Family Medicine Physician |
| 2016-01630 | NC | MD | Family Medicine Physician |
| 25MA09870700 | NJ | MD | Family Medicine Physician |
| 278153 | NY | MD | Family Medicine Physician |
| 35.129569 | OH | MD | Family Medicine Physician |
| MD457790 | PA | MD | Family Medicine Physician |
| 101260142 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurotrack Health | Current | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| Chrysalis Health of California, PC | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Family Medicine | Past | Accepting new patients |
| Chrysalis Health of Illinois P.C. | Past | Accepting new patients | |
| Chrysalis Health of Florida P.a. | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24982/brand/1/csg/1/fhir/r4
- andrew.cunningham.1@19041.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Redwood City, CA
- NPI 1356096747
-
- Endocrinology, Diabetes & Metabolism Physician
- Miami, FL
- NPI 1346873015
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Endocrinology, Diabetes & Metabolism Physician
- Los Angeles, CA
- NPI 1407324379
-
- Endocrinology, Diabetes & Metabolism Physician
- Chicago, IL
- NPI 1245701812
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Family Medicine
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
dba UCSF Health - St. Mary's Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1174799944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BLEECKER ST # 151",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122410",
"telephone_number": "302-313-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 OFFICE PARK CT STE 103",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292235948",
"telephone_number": "434-248-7508"
}
],
"practiceLocations": [
{
"address_1": "3958 Brown Park Dr Ste D",
"address_purpose": "LOCATION",
"city": "Hilliard",
"state": "OH",
"postal_code": "430261160",
"country_code": "US",
"telephone_number": "434-248-7508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 N 2nd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171011092",
"country_code": "US",
"telephone_number": "434-248-7508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "382 NE 191st St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331793899",
"country_code": "US",
"telephone_number": "434-248-7508",
"fax_number": "213-340-5870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "ANDREW",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "265062",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "36138997",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301110449",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD042785",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD457790",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME130291",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01076738A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "101260142",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.55071",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.129569",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "1.055403",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2016-01630",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA09870700",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A110180",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "278153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.