Active NPI
Lewis Nolan Cunningham, D.O.
- Urology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1166
- Practice address
- Wiregrass Clinic LLC
4300 Wmain St, Ste 21
Dothan, AL 36116 - Phone
- (334) 793-1534
- NPI assigned
- Nov 10, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 7039 | ND | |
| Urology Physician | 208800000X | 4405 | SD | |
| Urology Physician | 208800000X | 8878 | OH | |
| Urology Physician | 208800000X | 25020 | MS | |
| Urology Physician | 208800000X | DO.1166 | AL | |
| Urology Physician | 208800000X | 1166 | AL | Primary |
Addresses
Primary practice location
Wiregrass Clinic LLC
4300 Wmain St, Ste 21
Dothan, AL 36116
Mailing address
4300 W Main St.
Ste. 21
Dothan, AL 36305-1058
Phone (334) 699-7900
Other practice location 1
37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520
Other practice location 2
1800 12th St
Meridian, MS 39301-4158
Phone (601) 703-9224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, AL, MN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 W Main St
Suite 45
Dothan, AL 36305-1317
Phone (334) 944-7095
Hospital & facility affiliations
- Flowers Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1166 | AL | MD | Urology Physician |
| DO.1166 | AL | MD | Urology Physician |
| 8878 | OH | MD | Urology Physician |
| 4405 | SD | MD | Urology Physician |
Practice roles
Locations
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
4300 W Main St
Ste 45
Dothan, AL 36305
Phone (334) 673-0049
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2119 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 613-7070
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900
100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503
713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400
5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390
306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700
214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631
712 S Cascade St
Fergus Falls, MN 56537
Interoperability endpoints
- lcunningham384710@direct-prd.stelizabeth.com
- lewis.cunningham.1@3326.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
Organizations & group practices 17
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.
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Multi-Specialty Clinic/Center
- Paintsville, KY
- NPI 1588328967
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
-
- Medicare Defined Swing Bed Hospital Unit
- Prestonsburg, KY
- NPI 1285296848
-
- Diagnostic Radiology Physician
- Paintsville, KY
- NPI 1811639297
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1497826796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MAIN ST.",
"address_2": "STE. 21",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051058",
"telephone_number": "334-699-7900",
"fax_number": "334-699-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WIREGRASS CLINIC LLC",
"address_2": "4300 WMAIN ST, STE 21",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36116",
"telephone_number": "334-793-1534"
}
],
"practiceLocations": [
{
"address_1": "37 Ball Park Rd",
"address_purpose": "LOCATION",
"city": "Harlan",
"state": "KY",
"postal_code": "408311701",
"country_code": "US",
"telephone_number": "606-573-4520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 12th St",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014158",
"country_code": "US",
"telephone_number": "601-703-9224",
"fax_number": "601-703-4973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "LEWIS",
"middle_name": "NOLAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2024-06-06",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ND",
"license": "7039",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SD",
"license": "4405",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "8878",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "25020",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "DO.1166",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "1166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.