DR. JACOB LOGAN CUNNINGHAM MD
NPI 1245933159
Student in an Organized Health Care Education/Training Program in Lafayette, LA

Q: What is Jacob Cunningham's NPI number?

The NPI number for Jacob Cunningham is 1245933159. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Jacob Cunningham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Cunningham was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 22, 2023PECOS Enrolled

2390 W CONGRESS ST, LAFAYETTE, LA 70506(337) 261-6000 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2025, Mar 22, 2023 (2 updates tracked since 2023).

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About Dr. Jacob Logan Cunningham Md NPPES

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

DR. JACOB LOGAN CUNNINGHAM MD (NPI 1245933159) is an individual student in an organized health care education/training program in Lafayette, Louisiana and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245933159

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JACOB LOGAN CUNNINGHAMCredential: MD

Location Address2390 W CONGRESS STLafayette, LA 70506-4205

Mailing Address2390 W Congress StLafayette, LA 70506-4205

Phone(337) 261-6000

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1245933159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2390 W CONGRESS ST, Lafayette, LA 70506

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Logan Cunningham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

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