Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Cunningham, PA-C

Individual provider Physician Assistant · NPI 1750782991

Paul Cunningham, PA-C is a Physician Assistant in Petoskey, Michigan. Qualified in 2014, 12 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

416 Connable Ave
Petoskey, MI 49770-2212
Phone: (231) 487-4000
Fax: (231) 487-3063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1750782991
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2014
Last updated in NPPESSeptember 26, 2014
Mailing address1014 Sixth St, 103, Traverse City, MI 49684-2381

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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