Corner Medical Center, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CORNER MEDICAL CENTER, INC

Practice address

430 N 3Rd Ave
Chatsworth, GA 30705-2540

Phone

(706) 695-0446

Fax

(706) 517-5157

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jim W Richards, PHARM.D.

Title

President

Phone

(706) 695-0446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1093940264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "address_2": "430 NORTH 3RD AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307050099",
            "telephone_number": "706-695-0446",
            "fax_number": "706-517-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N 3RD AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052540",
            "telephone_number": "706-695-0446",
            "fax_number": "706-517-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-695-0446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cook Primary Care LLC
• Judith Ann Cook, APRN
• Robert Ted Cook, MD MPH FAAFP
• Corner Drugs Inc
• Corner Drugs Inc
• John W. Coryell, NP-C
• Lisa Counsell, M.D.
• Cplace Chatsworth SNF LLC
• Tommy Curtis, NP
• Connie Lynn Davenport

• Primary Care Clinic/Center in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.