Mollie Beard Cornelius, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R888424 Issued in MS

Practice address

114 N Lehmberg Rd
Columbus, MS 39702-5554

Phone

(662) 329-2955

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mollie.cornelius.1@17762.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18494/brand/1/csg/1/fhir/r4

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.

• Dutch Medical Clinics, Inc

  • Multi-Specialty Clinic/Center
  • Columbus, MS
  • NPI 1215276175
  Medicare reassignment Care Compare group NPD
• Children'S Health Center of Columbus, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, MS
  • NPI 1558398941
  NPD (past)
• Children'S Health Center of Columbus, Inc.

  • Pediatrics Physician
  • Columbus, MS
  • NPI 1821185398
  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1457733552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N LEHMBERG RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025554",
            "telephone_number": "662-329-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N LEHMBERG RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025554",
            "telephone_number": "662-329-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "MOLLIE",
        "middle_name": "BEARD",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R888424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Convenient Care Medical Clinic LLC
• Jennifer Marlow Cook, P-LPC
• Cheryl Cooper, PMHNP
• Melissa Cooper, LCSW
• April Stevenson Corcoran
• Cornerstone Family Medical Center LLC
• Walter N Cosby, M.D.
• Kimberlin Cotton, CFNP
• Amy Claire Cox
• Patricia T Cox, M.S., PT

• Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.

Verify at the official NPI Registry.