Active NPI
Jason David Cundiff, M.D.
- Surgery Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 88865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023066800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134536 | FL | MD | Surgery Physician |
| 025774 | LA | MD | Surgery Physician |
| 88865 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| West Florida Physician Network, LLC | Surgery | Current | Accepting new patients |
| Regional Medical Center of Orangeburg and Calhoun Counties | Current | 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 | Current | 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 | Current | Accepting new patients |
| Musc Community Physicians | Surgery | Current | 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
- https://api.platform.athenahealth.com/2817/brand/1/csg/1/fhir/r4
- 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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
Surgery
-
- Surgery Physician
- Orangeburg, SC
- NPI 1164496527
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1376779496
Surgery
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Neurology Physician
- Orangeburg, SC
- NPI 1144940347
-
- Surgery Physician
- Orangeburg, SC
- NPI 1023457389
-
- Multi-Specialty Clinic/Center
- Yakima, WA
- NPI 1366471534
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.