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THOMAS KEITH CUNNINGHAM FNP-C
NPI 1861662470
Nurse Practitioner in Lincolnton, GA

Active since March 11, 2008PECOS EnrolledAccepts Medicare Assignment
611 N WASHINGTON ST, LINCOLNTON, GA 30817(706) 359-4215(706) 359-1662 Get Directions Write a Review

NPPES record last updated: July 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Keith Cunningham Fnp-c NPPES

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

THOMAS KEITH CUNNINGHAM FNP-C (NPI 1861662470) is an individual nurse practitioner in Lincolnton, Georgia, licensed in Georgia (RN115548) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Wills Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1861662470
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTHOMAS KEITH CUNNINGHAMCredential: FNP-C
Location Address611 N WASHINGTON STLincolnton, GA 30817-6037
Mailing AddressPo Box 568Washington, GA 30673-0568 · (706) 359-4215 · Fax (706) 359-1662
Phone(706) 359-4215
Fax(706) 359-1662
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 11, 2008
Last NPPES UpdateJuly 24, 2016
✔ NPI 1861662470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN115548
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
611 N WASHINGTON ST, Lincolnton, GA 30817
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Other Identifiers 1

Medicaid000922567FGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Keith Cunningham Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082511084
PECOS Enrollment IDI20031217000860
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wills Memorial Hospital

Critical Access Hospitals · Washington, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111325
Location120 Gordon StreetWashington, GA 30673 · Wilkes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers22 claims43 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$1.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HOSPITAL AUTHORITY OF WILKES COUNTY
Clinic/Center (Rural Health)
611 N WASHINGTON ST, SUITE A
LINCOLNTON, GA 30817
Lincoln County (706) 359-4215

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 Thomas Cunningham's NPI number?

The NPI number for Thomas Cunningham is 1861662470. It was assigned to this individual provider in the NPPES registry on March 11, 2008.

Where is Thomas Cunningham located?

Thomas Cunningham practices at 611 N Washington St, Lincolnton, GA 30817. The listed phone number is (706) 359-4215.

What is Thomas Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Thomas Cunningham enrolled in Medicare?

Yes. Thomas Cunningham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Cunningham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thomas Cunningham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Cunningham affiliated with any hospitals?

According to CMS data, Thomas Cunningham is affiliated with Wills Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Cunningham was last updated on July 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.