MR. JACK R III CUNNINGHAM (M.D.) – Diagnostic Radiology Physician, NPI 1114218112

MR. JACK R III CUNNINGHAM (M.D.) is a healthcare provider. based in Mobile, Alabama. specializing in GENERAL PRACTICE, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 31820 (AL). The NPI Number for MR. JACK R III CUNNINGHAM (M.D.) is 1114218112

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACK R III CUNNINGHAM (M.D.)
NPI
1114218112
Phone
(251) 435-2806
Address
5 MOBILE INFIRMARY CIR
Enumeration Date
25 April 2011
Last Update Date
1 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2514600326
Graduation Year
2011 (15 years ago)
PAC ID
9335399112
Group Practice PAC ID
7810914348
Professional Enrollment ID
I20121101000624
Address ID
AL366073513MO5XXXXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

87 GENERAL PRACTICE in AL

Provider Addresses for MR. JACK R III CUNNINGHAM (M.D.)

  • 5 MOBILE INFIRMARY CIR

    MOBILE, AL 366073513

    Phone: (251) 435-2806

    Type: Location

  • PO BOX 9369

    MOBILE, AL 366910369

    Phone: (251) 460-0326

    Fax: (251) 460-2846

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (922 days ago).

Enrollment records

2

Earliest due date

2023-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121101000624IDiagnostic RadiologyAL2023-11-30
I20250516002047IDiagnostic RadiologyTNTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view643586$0
71046X-ray of chest, 2 views380371$0
70450Ct scan head or brain without contrast249245$0
74177Ct scan of abdomen and pelvis with contrast178175$0
77067Screening mammography177177$0
View full utilization report →

Insurance plans in this area (ZIP 36607)

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Provider's Procedures

MR. JACK R III CUNNINGHAM (M.D.) performs procedures in GENERAL PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYAL71010X-ray of chest, 1 view, front325280
DIAGNOSTIC RADIOLOGYAL71250CT scan chest1313
DIAGNOSTIC RADIOLOGYAL73110X-ray of wrist, minimum of 3 views4439

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810914348View full group profile
NameSpecialtyState
Neurology, Nuclear Medicine, Diagnostic RadiologyFL
Diagnostic RadiologyAL
Diagnostic Radiology, Radiation OncologyAL
-AL
Diagnostic RadiologyAL
-AL
Diagnostic RadiologyAL
-AL
-AL
Diagnostic Radiology, Nuclear MedicineAL

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Frequently asked questions

What is the registry number for MR. JACK R III CUNNINGHAM (M.D.)?
The registry entry for MR. JACK R III CUNNINGHAM (M.D.) shows NPI 1114218112.
Is MR. JACK R III CUNNINGHAM (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MR. JACK R III CUNNINGHAM (M.D.) as active.
What does the directory say MR. JACK R III CUNNINGHAM (M.D.) does?
Insurance directories may phrase it differently, but here MR. JACK R III CUNNINGHAM (M.D.) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MR. JACK R III CUNNINGHAM (M.D.)?
The directory associates MR. JACK R III CUNNINGHAM (M.D.) with Mobile, Alabama. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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