Individual provider Active NPI

Jason David Cundiff, M.D.

  • Surgery Physician
  • Greenville, SC
National Provider Identifier
1497926323
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
88865 Issued in SC
Practice address
135 Commonwealth Dr Ste 210
Greenville, SC 29615-4850
Phone
(864) 675-4815
Fax
(877) 893-3779
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 025774 LA
Surgery Physician 208600000X 88865 SC Primary
Surgery Physician 208600000X ME134536 FL

Addresses

Primary practice location

135 Commonwealth Dr Ste 210
Greenville, SC 29615-4850

Mailing address

PO Box 631341
Cincinnati, OH 45263-1341

Other identifiers 1

IdentifierTypeStateIssuer
023066800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180108000272 FL Practitioner - General Surgery 6608930656 Reassigns benefits to 1 organization
I20221110003181 SC Practitioner - General Surgery 6608930656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Greenville Specialty Care LLCGroup PAC ID 1850779976, 290 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000

135 Commonwealth Dr
Greenville, SC 29615-4850

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134536FLMDSurgery Physician
025774LAMDSurgery Physician
88865SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
West Florida Physician Network, LLC Surgery CurrentSince Feb 10, 2020 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Oct 1, 2022 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Surgery CurrentSince Oct 1, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Mar 10, 2024 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Surgery Current Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Surgery CurrentSince Mar 10, 2024 Accepting new patients
Musc Community Physicians Surgery CurrentSince Mar 1, 2023 Accepting new patients
Yakima Surgical Associates, PLLC Past Accepting new patients

Locations

7005 Cortez Rd W
Bradenton, FL 34210
Phone (941) 465-4800

315 75th St W
Bradenton, FL 34209
Phone (941) 761-1616

2010 59th St W
Ste 2200
Bradenton, FL 34209
Phone (941) 794-5621

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

135 Commonwealth Dr
Ste 210
Greenville, SC 29615
Phone (864) 242-1750

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

1175 Cook Rd
Ste 320
Orangeburg, SC 29118
Phone (803) 395-3960

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2817/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.cundiff@hca4.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1497926323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631341",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COMMONWEALTH DR STE 210",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154850",
            "telephone_number": "864-675-4815",
            "fax_number": "877-893-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "025774",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "88865",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME134536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023066800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.