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KENTRICE CUNNINGHAM-LONDON
NPI 1104409663
Technician, Pathology - Phlebotomy in Snellville, GA

Active since May 03, 2021PECOS Enrolled
2341 HENRY CLOWER BLVD STE D, SNELLVILLE, GA 30078(470) 406-6994(770) 680-5324 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, May 3, 2021 (2 updates tracked since 2021).

About Kentrice Cunningham-london NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTRICE CUNNINGHAM-LONDON (NPI 1104409663) is an individual phlebotomy provider in Snellville, Georgia, licensed in Georgia (216463) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104409663
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameKENTRICE CUNNINGHAM-LONDON
Location Address2341 HENRY CLOWER BLVD STE DSnellville, GA 30078-7420
Mailing Address3177 Misty View TrlLilburn, GA 30047-1832 · (943) 259-2488 · Fax (770) 680-5324
Phone(470) 406-6994
Fax(770) 680-5324
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 3, 2021
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1104409663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License✔ Licensed in GA · 216463
2341 HENRY CLOWER BLVD STE D, Snellville, GA 30078
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kentrice Cunningham-london is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597258657
PECOS Enrollment IDI20251205003322
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SEBRINA MAYO
Pathology (Clinical Laboratory Director, Non-physician)
2341 HENRY CLOWER BLVD STE D
SNELLVILLE, GA 30078
Gwinnett County (470) 506-9548
GOMEDICAL LABS LLC
Technician, Pathology (Phlebotomy)
2341 HENRY CLOWER BLVD STE D
SNELLVILLE, GA 30078
Gwinnett County (470) 406-6994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentrice Cunningham-london's NPI number?

The NPI number for Kentrice Cunningham-london is 1104409663. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Kentrice Cunningham-london located?

Kentrice Cunningham-london practices at 2341 Henry Clower Blvd Ste D, Snellville, GA 30078. The listed phone number is (470) 406-6994.

What is Kentrice Cunningham-london's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Is Kentrice Cunningham-london enrolled in Medicare?

Yes. Kentrice Cunningham-london is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kentrice Cunningham-london was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.