Jonathan Scott Cudnik, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

75997 Issued in GA

Practice address

1902 Forsyth St
Macon, GA 31201

Phone

(478) 250-9785

NPI assigned

Jun 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, VA, GA, TN4 enrollments

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 4

Specialty

Vascular Surgery

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Vascular LLCGroup PAC ID 6709240013, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcudnik840459@direct.sentara.net
• Direct secure messaging: jcudnik820021@direct.hfhs.org

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.

• Premier Vascular, LLC

  dba Premier Vascular Surgery

  • Vascular Surgery Physician
  • Macon, GA
  • NPI 1942981618
  Medicare reassignment Care Compare group NPD Authorized official
• Houston County Healthcare Authority

  dba Samc-Enterprise Medical Clinic

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1619026606
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Vascular Surgery

  Medicare reassignment NPD
• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955
  Medicare reassignment NPD
• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482
  Medicare reassignment
• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center Medical Clinics

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1538597349
  NPD
• Medvision, L.L.C.

  • Diagnostic Radiology Physician
  • Montgomery, AL
  • NPI 1457508244
  NPD
• W. a. Foote Memorial Hospital, Inc

  dba Allegiance Health

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1760437826
  NPD
• Vascular and Vein Institute of the South, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
  • NPI 1073396453

  Vascular Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coliseum Medical Center, LLC

  dba Piedmont Macon Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• Macon Northside Hospital, LLC

  dba Piedmont Macon North Hospital

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976
  Care Compare affiliation

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1285920538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018132",
            "telephone_number": "478-250-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-250-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDNIK",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "75997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nannette Rene Crowley, M.D.
• Cawarnest Bernard Cruse
• Abigail Joy Cruz, MD
• Delma Renee Cruz, MS, CCC-SLP
• Jeffrey Elliott Cryder, CRNA
• Kendra Culler, LABS2GO LLC
• Elizabeth Culp, M.D.
• Lachionte Yvette Culpepper, OD
• Ashlee Cummings
• Qualivia Hawkins Cummings

• Vascular Surgery Physician in Macon, GA
• Providers in Macon, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.

Verify at the official NPI Registry.