Cunningham Physical Medicine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD 11905 Issued in MS

Legal business name

CUNNINGHAM PHYSICAL MEDICINE

Practice address

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Phone

(901) 291-2400

NPI assigned

May 24, 2005

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark L Cunningham, MDNPI 1326041146

Title

Owner

Phone

(901) 291-2400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark L Cunningham, MD

  • Physical Medicine & Rehabilitation Physician
  • Southaven, MS
  • NPI 1326041146

  TN

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1285637090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 GREENLEAF RD",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386188133",
            "telephone_number": "901-291-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "901-291-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-291-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD 16101",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "MD 11905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Sheree Crawford, PHARMD
• Martha Kristen Creel, RN
• Jennifer Leigh Crider, AU.D.
• Carley Crosby, PA-C
• Adam Carson Cummins, MD
• Jeff Jordan Cunningham, M.D.
• Mark L Cunningham, MD
• Kristina S. Curtiss, LMSW
• Gregory D Dabov, M.D.
• Wendy A Dagley, PLPC

• Physical Medicine & Rehabilitation Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.