Active NPI
Cornerstone Medical Inc
- Oxygen Equipment & Supplies (DME)
- Roswell, GA
National Provider Identifier
1154497113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930087702 | GA | DME Supplier - Medical Supply Company | 1759409626 | Practice locations: Alpharetta, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Cornerstone Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1295901148
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.