Active NPI
James Anthony Cunningham, M.D.
- Surgery Physician
- Fort Stewart, GA
National Provider Identifier
1427046861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-0432
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5641 - Phone
- (912) 435-6965
- NPI assigned
- Oct 10, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 37961 | IA | |
| Surgery Physician | 208600000X | E-0432 | AR | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Mailing address
2900 Veterans Way
Viera, FL 32940-8007
Phone (321) 637-3858
Other practice location 1
2900 Veterans Way
Viera, FL 32940-8007
Phone (321) 637-3858 ext. 2638
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127362001 | Medicaid | AR | |
| 3850477 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0432 | AR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging PC | Past | Accepting new patients | |
| Northeast Arkansas Clinic, PA | Past | Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Ankle and Foot Centers of Nashville
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
dba AdvancedHealth
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
-
dba NEA Clinic
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1376517177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1427046861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 VETERANS WAY",
"city": "VIERA",
"state": "FL",
"postal_code": "329408007",
"telephone_number": "321-637-3858",
"fax_number": "321-637-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-6965"
}
],
"practiceLocations": [
{
"address_1": "2900 Veterans Way",
"address_purpose": "LOCATION",
"city": "Viera",
"state": "FL",
"postal_code": "329408007",
"country_code": "US",
"telephone_number": "321-637-3858 x2638",
"fax_number": "321-637-3548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JAMES",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2023-03-07",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "37961",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-0432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127362001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3850477",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stewart, GA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.