MEDICARE: DR. THOMAS MOFFATT CUNNINGHAM III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	200901092	NC
2	2085R0204X	Vascular & Interventional Radiology Physician	MD0000046134	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	300113786	OTHER	WY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245208115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS MOFFATT CUNNINGHAM III MD

Provider Business Mailing Address
First Line	:	2040 RESERVE BLVD STE B
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-0735
Country	:	US
Telephone Number	:	615-455-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 RESERVE BLVD STE B
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-0735
Country	:	US
Telephone Number	:	615-455-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	03/02/2026

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