Active NPI
Cornerstone Health Care, PA
Doing business as Cornerstone Surgery at Premier
- Surgery Physician
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CORNERSTONE HEALTH CARE, PA
- Doing business as
- Cornerstone Surgery at Premier
- Practice address
- 4515 Premier Drive
Suite 202
High Point, NC 27265-8356 - Phone
- (336) 802-2150
- Fax
- (336) 802-2151
- NPI assigned
- Dec 13, 2011
- Last updated
- Nov 15, 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
- Grace E Terrell
- Title
- President / Ceo
- Phone
- (336) 802-2400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
4515 Premier Drive
Suite 202
High Point, NC 27265-8356
Mailing address
1701 Westchester Drive
Suite 850
High Piont, NC 27262-7254
Phone (336) 802-2536
Other names 1
- Cornerstone Surgery at Premier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000868 | NC | Part B Supplier - Clinic/Group Practice | 4183538895 |
Receives reassigned benefits from 690 practitioners This NPI is an additional NPI on the enrollment Practice locations: High Point, NC; Jefferson, NC; Jonesville, NC; Kernersville, NC; Summerfield, NC; Thomasville, NC; Winston Salem, NC; Archdale, NC… |
National Provider Directory
National Provider DirectoryLocations
4515 Premier Dr
Ste 202
High Point, NC 27265
Phone (336) 802-2500
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- High Point, NC
- NPI 1598795478
-
- Physician Assistant
- High Point, NC
- NPI 1699755041
-
- Surgery Physician
- Kernersville, NC
- NPI 1831124254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1124396502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH PIONT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2536",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 PREMIER DRIVE",
"address_2": "SUITE 202",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658356",
"telephone_number": "336-802-2150",
"fax_number": "336-802-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "TERRELL",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "336-802-2400"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Surgery at Premier",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in High Point, NC
- Cornerstone Health Care, LLC (High Point ENT Associates)
- Cornerstone Health Care, LLC (Cornerstone Health Care Urology at Premier)
- Cornerstone Health Care, LLC (Cornerstone Behavioral Medicine)
- Cornerstone Health Care, PA (Dale Williams Vascular Medicine/Wound Care Specialist)
- Cornerstone Health Care, PA (High Point OB-Gyn Associates)
- Cornerstone Health Care, PA (Cornerstone Internal Medicine at Pennybyrn)
- Cornerstone Health Care, PA (Cornerstone Behavioral Medicine at CCAR)
- Cornerstone Health Care, PA (Cornerstone Critical Care)
- Cornerstone Health Care, PA (R. Van Fletcher, MD)
- Cornerstone Health Care, PA (Cornerstone Inpatient Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.