Cornerstone Family Practice & Urgent Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CORNERSTONE FAMILY PRACTICE & URGENT CARE, PLLC

Practice address

1536 Owen Park LN
Fayetteville, NC 28304-3454

Phone

(910) 307-1576

Fax

(910) 500-3117

NPI assigned

Nov 2, 2015

Last updated

Aug 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgia Buckley, PA-CNPI 1205862547

Title

President

Phone

(910) 307-1576

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGEICD

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georgia Jamillah Buckley, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1205862547
  Medicare reassignment Authorized official
• Gail Williams-Booker, FNP-C

  • Family Nurse Practitioner
  • Winston Salem, NC
  • NPI 1568971083
  Medicare reassignment NPD
• Kendall Leigh Clark, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1225750995
  Medicare reassignment
• Dawn Fowler Barnes, CNM, WHNP

  • Advanced Practice Midwife
  • Fort Bragg, NC
  • NPI 1386623361
  NPD
• Dorrette Patrice Grant, MD

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1154345346
  NPD
• Shanita Danielle Bailey Whetstone, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1710732565
  NPD
• Jacqueline Born, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Lynchburg, VA
  • NPI 1033216650
  NPD
• Linda Daniels

  • Specialist
  • Fayetteville, NC
  • NPI 1649691221
  NPD (past)
• Burt William Dobson, MD

  • General Practice Physician
  • Whiteville, NC
  • NPI 1336321926
  NPD (past)

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1083087837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2376",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287132376",
            "telephone_number": "910-302-3801",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 OWEN PARK LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043454",
            "telephone_number": "910-307-1576",
            "fax_number": "910-500-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY PRACTICE & URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-307-1576",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F766",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coressence Inc
• Brianna Corey
• Brynna Corley
• Lauren Corne
• Cornerstone Caregiving West LLC
• Carlos Miguel Corrales, FNP
• Roanne Nicole Limosnero Cortez, NP
• Steven Coryell, DDS
• Anamarie Coss Conty
• Marianne Victoria Coton, HIS

• Primary Care Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.