Cornerstone Treatment Center PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

100336 Issued in NC

Legal business name

CORNERSTONE TREATMENT CENTER PA

Practice address

11 9TH Ave NE
Hickory, NC 28601-3739

Phone

(828) 327-2275

NPI assigned

Nov 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Anderson Heath, PA-C

Title

Owner

Phone

(828) 327-2275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578634648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 9TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013739",
            "telephone_number": "828-327-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 9TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013739",
            "telephone_number": "828-327-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE TREATMENT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-327-2275",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Cornerstone Counseling Center
• Cornerstone Counseling Center
• Cornerstone Health Care, LLC (Generations Family Medicine and Aesthetics)
• Cornerstone Health Care, PA (Medical Arts Clinic)
• Grace Weinrich Cortney, RDH
• Cos Eye Care, O.D., P.a.
• Jamey Lynn Cost, MD
• Lorie Owens Costner
• Lyricist Dior Cotton, LCMHC

• Physician Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.