Organization Active NPI

Cornerstone Medical Inc

  • Oxygen Equipment & Supplies (DME)
  • Roswell, GA
National Provider Identifier
1154497113
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CORNERSTONE MEDICAL INC
Practice address
995 Mansell Rd
Suite D
Roswell, GA 30076-1505
Phone
(770) 399-7335
Fax
(770) 392-4771
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mr. Andrew P Simmons Sr.
Title
President Ceo
Phone
(770) 399-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

995 Mansell Rd
Suite D
Roswell, GA 30076-1505

Mailing address

PO Box 76850
Atlanta, GA 30358-1850
Phone (770) 399-7337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930087702 GA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1759409626 Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1154497113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76850",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303581850",
            "telephone_number": "770-399-7337",
            "fax_number": "770-392-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 MANSELL RD",
            "address_2": "SUITE D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761505",
            "telephone_number": "770-399-7335",
            "fax_number": "770-392-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "770-399-7337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.

Verify at the official NPI Registry.