Active NPI
Thomas Keith Cunningham, FNP-C
- Nurse Practitioner
- Lincolnton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN115548
- Practice address
- 611 N Washington St
Lincolnton, GA 30817-6037 - Phone
- (706) 359-4215
- Fax
- (706) 359-1662
- NPI assigned
- Mar 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN115548 | GA | Primary |
Addresses
Primary practice location
611 N Washington St
Lincolnton, GA 30817-6037
Mailing address
PO Box 568
Washington, GA 30673-0568
Phone (706) 359-4215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000922567F | Medicaid | GA |
Organizations & group practices 4
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.
-
- Gynecology Physician
- Augusta, GA
- NPI 1427586023
-
- Primary Care Clinic/Center
- Hephzibah, GA
- NPI 1659431708
-
- Family Medicine Physician
- Louisville, GA
- NPI 1114956075
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent MD Healthcare Services, P.C.
Practice addresses (Care Compare)
1008 E Robert Toombs Ave
Washington, GA 30673-2089
Phone (706) 678-1633
Hospital & facility affiliations
- Wills Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031217000860 | GA | Practitioner - Nurse Practitioner | 4082511084 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent MD Healthcare Services, P.C. | Current | Accepting new patients | |
| Urgent MD Healthcare Services, P.C. | Current | Accepting new patients | |
| Southcare Medical Center | Past | Accepting new patients | |
| Ar Medical LLC | Past | Accepting new patients |
Locations
3686 Wheeler Rd
Augusta, GA 30909
Phone (706) 364-6471
1008 E Robert Toombs Ave
Washington, GA 30673
Phone (706) 678-1633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469318400000",
"number": "1861662470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306730568",
"telephone_number": "706-359-4215",
"fax_number": "706-359-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N WASHINGTON ST",
"city": "LINCOLNTON",
"state": "GA",
"postal_code": "308176037",
"telephone_number": "706-359-4215",
"fax_number": "706-359-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "THOMAS",
"middle_name": "KEITH",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-11",
"last_updated": "2016-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN115548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000922567F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; 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.