Active NPI
Jerry Milton Cunningham, MD
- Internal Medicine Physician
- Greenville, MS
National Provider Identifier
1245309418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 06997
- Practice address
- 521 Fairview
Greenville, MS 38701 - Phone
- (662) 334-9182
- Fax
- (662) 335-5320
- NPI assigned
- Nov 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 06997 | MS | Primary |
Addresses
Primary practice location
521 Fairview
Greenville, MS 38701
Mailing address
521 Fairview
Greenville, MS 38701
Phone (662) 334-9182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00016395 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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 |
|---|---|---|---|---|
| I20080709000587 | MS | Practitioner - Internal Medicine | 3779655659 | Practice locations: Greenville, MS |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
521 Fairview Ave
Greenville, MS 38701-5402
Phone 66233491820
Hospital & facility affiliations
- Delta Health-the Medical Center
- Vitalcaring Group
- Adoration Home Health and Hospice Care Mississippi
- Delta Health- the Medical Center (Hospice)
- Delta Health System - the Medical Center
- Washington Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Greenville Clinic | Past | Accepting new patients | |
| Greenville Radiology, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Greenville, MS
- NPI 1154628899
-
- Multi-Specialty Clinic/Center
- Greenville, MS
- NPI 1003844978
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, MS
- NPI 1477651362
-
- Home Health Agency
- Indianola, MS
- NPI 1154304491
-
- Home Health Agency
- Cleveland, MS
- NPI 1215244017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1245309418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 FAIRVIEW",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "38701",
"telephone_number": "662-334-9182",
"fax_number": "662-335-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 FAIRVIEW",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "38701",
"telephone_number": "662-334-9182",
"fax_number": "662-335-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JERRY",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "06997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016395",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.