Active NPI
Cornerstone Health Care PA
- Neurology Physician
- Advance, NC
National Provider Identifier
1598096034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CORNERSTONE HEALTH CARE PA
- Practice address
- 152 East Kinderton Way
Suite 101
Advance, NC 27006-7350 - Phone
- (336) 940-2781
- Fax
- (336) 940-2782
- NPI assigned
- Jan 22, 2010
- 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
- Grace E Terrell, MD
- Title
- President/Ceo
- Phone
- (336) 802-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
152 East Kinderton Way
Suite 101
Advance, NC 27006-7350
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913407 | Medicaid | NC |
Other names 1
- Advance Neurology and Pain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000868 | NC | Part B Supplier - Clinic/Group Practice | 4183538895 |
Receives reassigned benefits from 690 practitioners This NPI is an additional NPI on the enrollment Practice locations: High Point, NC; Jefferson, NC; Jonesville, NC; Kernersville, NC; Summerfield, NC; Thomasville, NC; Winston Salem, NC; Archdale, NC… |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1598096034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2536",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 EAST KINDERTON WAY",
"address_2": "SUITE 101",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270067350",
"telephone_number": "336-940-2781",
"fax_number": "336-940-2782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-22",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "TERRELL",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "336-802-2400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913407",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advance Neurology and Pain",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Advance, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.