Individual provider Active NPI

Christopher C Cornor, CRNA

  • Certified Registered Nurse Anesthetist
  • Camden, SC
National Provider Identifier
1023095361
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1851 Issued in SC
Practice address
1315 Roberts Street
Camden, SC 29020
Phone
(803) 432-4311
NPI assigned
Dec 28, 2005
Reactivated
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1851 SC Primary
Certified Registered Nurse Anesthetist 367500000X R66014 SC

Addresses

Primary practice location

1315 Roberts Street
Camden, SC 29020

Mailing address

129 North Washington Street
Sumter, SC 29150
Phone (803) 774-8726

Other identifiers 2

IdentifierTypeStateIssuer
P00054273OtherSCMEDICARE RR ID#
AN1221MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000933 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002884665 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Anesthesia, LLC 91 clinicians
Prisma Health University Medical Group 2,467 clinicians

Practice addresses (Care Compare)

109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Newberry County Memorial Hospital Hospital, Newberry, SC, CCN 420053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1851SCMDCertified Registered Nurse Anesthetist
R66014SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kershaw Anesthesia, LLC CurrentSince Nov 1, 2015 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 19, 2019 Accepting new patients
McLeod Health Cheraw Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2019 Accepting new patients
McLeod Health Cheraw CurrentSince Sep 25, 2019 Accepting new patients
Tidelands Anesthesia Group LLC CurrentSince Aug 3, 2025 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Feb 26, 2018 Accepting new patients
Under Anesthesia CurrentSince May 1, 2011 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2022 Accepting new patients
McLeod Health Clarendon CurrentSince Apr 1, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2019 Accepting new patients
Prisma Health-Midlands CurrentSince Jul 20, 2004 Accepting new patients
Beach Anesthesia, LLC CurrentSince Mar 3, 2021 Accepting new patients
Musc Community Physicians CurrentSince Oct 3, 2021 Accepting new patients
McLeod Medical Center-Dillon Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2018 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
McLeod Health Clarendon CurrentSince Apr 1, 2017 Accepting new patients
Musc Community Physicians CurrentSince Oct 3, 2021 Accepting new patients
Musc Community Physicians Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2018 Accepting new patients
Prisma Health-Midlands Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2004 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2022 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
McLeod Health Clarendon Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

40 Pinnacle Pkwy
Elgin, SC 29045
Phone (803) 424-5160

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

200 E Hospital St
Manning, SC 29102
Phone (803) 433-0439

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 27

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1023095361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NORTH WASHINGTON STREET",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-774-8726",
            "fax_number": "803-774-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS STREET",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNOR",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "1851",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R66014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR ID#",
            "identifier": "P00054273",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1221",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.