Active NPI
Douglas Eli Cunningham, DPM
- Podiatrist
- Cheraw, SC
National Provider Identifier
1699761874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 522
- Practice address
- 812 State Rd
Cheraw, SC 29520-2130 - Phone
- (843) 537-0961
- Fax
- (843) 537-0908
- NPI assigned
- Sep 23, 2005
- Last updated
- Aug 20, 2025
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 522 | SC | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 522 | SC |
Addresses
Primary practice location
812 State Rd
Cheraw, SC 29520-2130
Mailing address
PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD5220 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
545 Sumter Hwy
Bishopville, SC 29010-7601
Phone (803) 484-5317
715 S Doctors Dr
Suites a B and D/E
Cheraw, SC 29520-7113
Phone (843) 537-0961
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 522 | SC | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caresouth Carolina, Inc | Current | Accepting new patients | |
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Lawrence J. Kales DPM | Podiatrist | Past | Accepting new patients |
| Lawrence J Kales D P M P a | Podiatrist | Past | Accepting new patients |
| Caresouth Carolina, Inc | Past | Accepting new patients | |
| Larry J. Kipp DPM PA | Podiatrist | Past | Accepting new patients |
Locations
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
- Federally Qualified Health Center (FQHC)
- Cheraw, SC
- NPI 1285677443
-
- Federally Qualified Health Center (FQHC)
- Society Hill, SC
- NPI 1194763714
-
- Podiatrist
- New Port Richey, FL
- NPI 1992953186
-
- Podiatrist
- Spring Hill, FL
- NPI 1114106754
-
- Podiatrist
- Hudson, FL
- NPI 1023015658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1699761874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1090",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295511090",
"telephone_number": "843-857-0111",
"fax_number": "843-309-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 STATE RD",
"city": "CHERAW",
"state": "SC",
"postal_code": "295202130",
"telephone_number": "843-537-0961",
"fax_number": "843-537-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "DOUGLAS",
"middle_name": "ELI",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SC",
"license": "522",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "SC",
"license": "522",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PD5220",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheraw, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.