Individual provider Active NPI

Andrew T Cunningham, M.D.

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1174799944
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
278153 Issued in NY
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

Updated by the provider on Jun 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602002214 CO Order and Referring Only - Family PracticePractitioner - Family Practice 7416118567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
110180CAMDGeneral Practice Dentistry
A110180CAMDFamily Medicine Physician
DR.55071COMDFamily Medicine Physician
1.055403CTMDFamily Medicine Physician
MD042785DCMDFamily Medicine Physician
ME130291FLMDFamily Medicine Physician
36138997ILMDFamily Medicine Physician
01076738AINMDFamily Medicine Physician
265062MAMDFamily Medicine Physician
4301110449MIMDFamily Medicine Physician
2016-01630NCMDFamily Medicine Physician
25MA09870700NJMDFamily Medicine Physician
278153NYMDFamily Medicine Physician
35.129569OHMDFamily Medicine Physician
MD457790PAMDFamily Medicine Physician
101260142VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://api.platform.athenahealth.com/24982/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.