Nicholas Matthew Cundiff, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41060 Issued in SC

Practice address

99 Bridgetown Rd
Goose Creek, SC 29445-5359

Phone

(843) 572-3300

Fax

(843) 797-3331

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.cundiff.1@20108.direct.athenahealth.com

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.

• Genesis Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Darlington, SC
  • NPI 1437484862

  SC

  Medicare reassignment NPD
• Genesis Healthcare, Inc

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1942757844
  NPD
• Genesis Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1881440758
  NPD
• Genesis Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1255305280
  NPD (past)
• Genesis Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Goose Creek, SC
  • NPI 1447975966
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1720518384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BRIDGETOWN RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455359",
            "telephone_number": "843-572-3300",
            "fax_number": "843-797-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Robertson Blvd",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294883081",
            "country_code": "US",
            "telephone_number": "843-781-7428",
            "fax_number": "843-781-7429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "41060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910759",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Cromwell, PT,DPT
• Kristen B. Cronin, OTR/L
• Saundra D. Cross, LPC, LPC-SC
• Crowfield Spine Center, P.a.
• Allison Ruth Crowley, LPC-A
• Jerome Paul Ramos Curameng
• Cynthia Lynn Cuson, FNP
• Tori Lynn Darling, DPT
• Andrew T Darrah, PA-C
• Aiyorla Dash, RN

• All providers in Goose Creek, SC
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.