Active NPI
Lonestar Foot & Ankle
- Podiatrist
- Granbury, TX
National Provider Identifier
1124383666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1949
- Legal business name
- LONESTAR FOOT & ANKLE
- Practice address
- 510 E Hwy 377
Granbury, TX 76048-2556 - Phone
- (817) 573-3338
- Fax
- (817) 573-3368
- NPI assigned
- Jul 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayme R Cornwell, DPM
- Title
- Owner
- Phone
- (817) 573-3338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1949 | TX | Primary |
Addresses
Primary practice location
510 E Hwy 377
Granbury, TX 76048-2556
Mailing address
510 E Hwy 377
Granbury, TX 76048-2556
Phone (817) 573-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1200 Crawford Ave
Ste C
Granbury, TX 76048
Phone (214) 557-0222
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Lackland a F B, TX
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- Fort Worth, TX
- NPI 1679612675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1124383666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E HWY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482556",
"telephone_number": "817-573-3338",
"fax_number": "817-573-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E HWY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482556",
"telephone_number": "817-573-3338",
"fax_number": "817-573-3368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONESTAR FOOT & ANKLE",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "CORNWELL",
"authorized_official_first_name": "JAYME",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-573-3338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "1949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.