Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC
NPI 1790006674ActiveOrganization· Otolaryngology· Southaven, MS
Otolaryngology in Southaven, Mississippi, registered in NPPES in June 2010. The authorized official on file is Jeffrey Jordan Cunningham, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1790006674 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2010 |
| Last updated in NPPES | Jun 15, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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