Active NPI
Jason L Cunningham
- Nurse Practitioner
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20553
- Practice address
- 1222 Trotwood Ave
Suite 101
Columbia, TN 38401-6436 - Phone
- (931) 490-7348
- Fax
- (931) 490-7349
- NPI assigned
- Oct 6, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 20553 | TN | Primary |
Addresses
Primary practice location
1222 Trotwood Ave
Suite 101
Columbia, TN 38401-6436
Mailing address
854 W James Campbell Blvd
Sutie 303
Columbia, TN 38401-4659
Phone (931) 490-7348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3710089 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, SD, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119001372 | TN | Practitioner - Nurse Practitioner | 1759681950 | Reassigns benefits to 4 organizations |
| I20250509002258 | SD | Practitioner - Nurse Practitioner | 1759681950 | Reassigns benefits to 2 organizations |
| I20250702001092 | MT | Practitioner - Nurse Practitioner | 1759681950 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roundup Memorial Hospital AssociationMaury Regional Medical Group, IncWinner Regional Healthcare Center
Practice addresses (Care Compare)
1207 2ND St W
Roundup, MT 59072-1835
Phone (406) 323-2301
1224 N Trotwood Ave
Columbia, TN 38401-4802
1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111
745 E 8TH St
Winner, SD 57580-2677
Phone (605) 842-7100
854 W James Campbell
Suite 303
Columbia, TN 38401-4672
854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779
Hospital & facility affiliations
- Winner Regional Healthcare Center - Cah
- Maury Regional Hospital
- Rainy Lake Medical Center
- Roundup Memorial Healthcare
- Winner Regional Healthcare Center - Cah
- Rainy Lake Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.45 of 100
- Quality
- 42.88
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 74.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20553 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland TN Emergency Medical Services LLC | Current | Accepting new patients | |
| Roundup Memorial Hospital Association | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients | |
| Apogee Medical Group Tennessee PC | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Winner Regional Healthcare Center | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Roundup Memorial Hospital Association | Current | Accepting new patients | |
| Winner Regional Healthcare Center | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients |
Locations
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600
46 Village Loop Rd
Kalispell, MT 59901
Phone (406) 257-4001
2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500
1207 2nd St W
Roundup, MT 59072
Phone (406) 323-2301
1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301
745 E 8th St
Winner, SD 57580
Phone (605) 842-2626
1222 Trotwood Ave
Ste 503
Columbia, TN 38401
Phone (931) 380-9166
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
1222 Trotwood Ave
Ste 101
Columbia, TN 38401
Phone (931) 490-7348
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531
103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Waynesboro, TN
- NPI 1518773712
TN
-
- Community/Retail Pharmacy
- Winner, SD
- NPI 1467910539
-
- Skilled Nursing Facility
- Winner, SD
- NPI 1568538478
-
- Rural Health Clinic/Center
- Winner, SD
- NPI 1649550401
-
- Skilled Nursing Facility
- Winner, SD
- NPI 1659447563
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- International Falls, MN
- NPI 1528041183
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1285004085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 W JAMES CAMPBELL BLVD",
"address_2": "SUTIE 303",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014659",
"telephone_number": "931-490-7348",
"fax_number": "931-490-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE",
"address_2": "SUITE 101",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016436",
"telephone_number": "931-490-7348",
"fax_number": "931-490-7349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JASON",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "20553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3710089",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.