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

NPI Status: Active since May 03, 2021

Contact Information

2341 HENRY CLOWER BLVD STE D
SNELLVILLE, GA
ZIP 30078
Phone: (470) 406-6994
Fax: (770) 680-5324

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  • Individual
  • Female
  • Technician, Pathology
  • Phlebotomy
  • PECOS Enrolled

About KENTRICE CUNNINGHAM-LONDON

This page provides the complete NPI Profile along with additional information for Kentrice Cunningham-london, a provider established in Snellville, Georgia with a medical specialization in Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1104409663 assigned on May 2021. The practitioner's primary taxonomy code is 246RP1900X with license number 216463 (GA). The provider is registered as an individual and her NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1104409663
Provider Name
KENTRICE CUNNINGHAM-LONDON
Gender
Female
Entity Type
Individual
Location Address
2341 HENRY CLOWER BLVD STE D SNELLVILLE, GA 30078
Location Phone
(470) 406-6994
Location Fax
(770) 680-5324
Mailing Address
3177 MISTY VIEW TRL LILBURN, GA 30047
Mailing Phone
(943) 259-2488
Mailing Fax
(770) 680-5324
Is Sole Proprietor?
Yes
Enumeration Date
05-03-2021
Last Update Date
11-06-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician, Pathology Phlebotomy

Taxonomy Code
246RP1900X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
216463
License State
GA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Medicare Participation & PECOS Enrollment Status

Kentrice Cunningham-london is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104409663, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 0 + 1 + 8 + 6 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104409663.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pathology (Clinical Laboratory Director, Non-physician)
2341 HENRY CLOWER BLVD STE D
SNELLVILLE, GA 30078
Technician, Pathology (Phlebotomy)
2341 HENRY CLOWER BLVD STE D
SNELLVILLE, GA 30078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104409663, enumerated as an "individual" on May 03, 2021.

The provider is located at 2341 HENRY CLOWER BLVD STE D SNELLVILLE, GA 30078 and the phone number is (470) 406-6994.

Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.