Individual provider Active NPI

Lewis Nolan Cunningham, D.O.

  • Urology Physician
  • Dothan, AL
National Provider Identifier
1497826796
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1166 Issued in AL
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

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA4 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

Enrollment IDStateProvider typePAC IDDetails
I20080123000063 KY Practitioner - Urology 9133226012 Reassigns benefits to 2 organizations
I20110408000254 AL Practitioner - Urology 9133226012 Reassigns benefits to 2 organizations
I20201217000796 MN Practitioner - Urology 9133226012
I20230526000096 GA Practitioner - Urology 9133226012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

4300 W Main St
Suite 45
Dothan, AL 36305-1317
Phone (334) 944-7095

Hospital & facility affiliations

  • Flowers Hospital Hospital, Dothan, AL, CCN 010055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1166ALMDUrology Physician
DO.1166ALMDUrology Physician
8878OHMDUrology Physician
4405SDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Region Healthcare Corporation CurrentSince Nov 11, 2020 Accepting new patients
Wiregrass Clinic LLC Urology CurrentSince Jun 17, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 20, 2021 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Apr 17, 2023 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Nov 11, 2020 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Apr 14, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Apr 14, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Decatur General Hospital Past Accepting new patients
St. Vincent Jennings Hospital, Inc. Urology Past Accepting new patients
St. Vincent Health Wellness and Preventive Care Institute, Inc. Past Accepting new patients
Decatur General Hospital Urology Past Accepting new patients

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

  • Direct secure messaging: lcunningham384710@direct-prd.stelizabeth.com
  • Direct secure messaging: lewis.cunningham.1@3326.direct.athenahealth.com
  • FHIR API: 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.

View all 17

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.