Active NPI
Jorge Corona, MD
- Psychiatry Physician
- Southlake, TX
National Provider Identifier
1235636671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T0758
- Practice address
- 420 N Carroll Ave Ste 150
Southlake, TX 76092-6454 - Phone
- (210) 941-2258
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T0758 | TX | Primary |
Addresses
Primary practice location
420 N Carroll Ave Ste 150
Southlake, TX 76092-6454
Mailing address
209 S Shady Shores Dr # 300-177
Lake Dallas, TX 75065-2973
Phone (214) 536-0873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8000 W Ih
10 Suite 1500
San Antonio, TX 78230-3883
Phone (210) 201-2241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0758 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| Fuqua Psychiatric Consulting, PLLC | Psychiatry | Current | Accepting new patients |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
Locations
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1639804313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1235636671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S SHADY SHORES DR # 300-177",
"city": "LAKE DALLAS",
"state": "TX",
"postal_code": "750652973",
"telephone_number": "214-536-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N CARROLL AVE STE 150",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926454",
"telephone_number": "210-941-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA",
"first_name": "JORGE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "T0758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.