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POLLA SUE CUNNINGHAM M.D.
NPI 1831260256
Internal Medicine in Fort Walton Beach, FL

Active since November 10, 2006
1005 MAR WALT DRIVE, ADMINISTRATION, FORT WALTON BEACH, FL 32547(850) 863-8100(850) 862-2303 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polla Sue Cunningham M.d. NPPES

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

POLLA SUE CUNNINGHAM M.D. (NPI 1831260256) is an individual internal medicine provider in Fort Walton Beach, Florida, licensed in Florida (ME94647) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1831260256
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePOLLA SUE CUNNINGHAMCredential: M.D.
Location Address1005 MAR WALT DRIVE, ADMINISTRATIONFort Walton Beach, FL 32547-6796
Mailing Address1005 Mar Walt Drive, AdministrationFort Walton Beach, FL 32547-6796 · (850) 863-8100 · Fax (850) 862-2303
Phone(850) 863-8100
Fax(850) 862-2303
Sole ProprietorNo
Enumeration DateNovember 10, 2006
Last NPPES UpdateMay 4, 2011
✔ NPI 1831260256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME94647
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1005 MAR WALT DRIVE, Fort Walton Beach, FL 32547
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Other Identifiers 7

Medicare UPINI05857AZ
Medicaid278157300FL
Other7773615FL · Aetna
Medicaid101581AL
Other41131FL · Bcbs
Medicare PINAE118YFL
Medicare PIN80664AZ

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%375 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TIMOTHY DAVID SKINNER AU.D.
Audiologist
1005 MAR WALT DRIVE, AUDIOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8232
JULIE CLAUSEN POWELL FNP-BC
Nurse Practitioner (Family)
1005 MAR WALT DRIVE, CVS MINUTE CLINIC
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8219
HEATHER LUTZ SHELTON ARNP
Nurse Practitioner
1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8203
DEBORAH LYNN GILMORE ARNP
Nurse Practitioner (Adult Health)
1005 MAR WALT DRIVE, PULMONOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-0118
CHINH VIEN VAN M.D.
Family Medicine
1005 MAR WALT DRIVE, IMMEDIATE CARE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8219
MS. ELIZABETH GAYLE ANDERSON ARNP-C
Nurse Practitioner
1005 MAR WALT DRIVE, CARE COORDINATION DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8202
ERICA CLARKSON
Nurse Practitioner
1005 MAR WALT DRIVE, FAMILY MEDICINE DEPT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
DR. LESLIE R FLEISCHER M.D.
Internal Medicine (Cardiovascular Disease)
1005 MAR WALT DRIVE, CARDIOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8294

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 Polla Cunningham's NPI number?

The NPI number for Polla Cunningham is 1831260256. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Polla Cunningham located?

Polla Cunningham practices at 1005 Mar Walt Drive Administration, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8100.

What is Polla Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Polla Cunningham was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.