MEDICARE: RICHARD RAY CUNNINGHAM D.O.

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	207Q00000X	Family Medicine Physician	79987	GA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841258662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD RAY CUNNINGHAM D.O.

Provider Business Mailing Address
First Line	:	1100 S. COLLEGE ST.
Second Line	:	SUITE 108-C
City	:	AUBURN
State	:	AL
Zip	:	36832
Country	:	US
Telephone Number	:	256-263-0162
Fax Number	:	256-781-0161

Provider Business Practice Location Address
First Line	:	1100 S. COLLEGE ST.
Second Line	:	SUITE 108-C
City	:	AUBURN
State	:	AL
Zip	:	36832
Country	:	US
Telephone Number	:	256-263-0162
Fax Number	:	256-781-0161

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	09/11/2025

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