Cornerstone Health Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CORNERSTONE HEALTH CARE, LLC

Doing business as

Cornerstone Care Outreach Clinic

Practice address

1208 Eastchester Dr
Suite 107a
High Point, NC 27265-3170

Phone

(336) 802-2291

Fax

(336) 802-2292

NPI assigned

Aug 21, 2012

Last updated

Nov 7, 2016By 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

Charles Douglas Mathis

Title

Chief Administrative Officer

Phone

(336) 802-2536

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Care Outreach Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Carolina Baptist Hospital

  dba Winston East Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Winston Salem, NC
  • NPI 1912179219

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin F Bruning, P.A

  • Physician Assistant
  • Greensboro, NC
  • NPI 1336168996
  NPD
• Ilona Davidovna Goukassian, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • High Point, NC
  • NPI 1952762965
  NPD

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1619225778",
    "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": "1208 EASTCHESTER DR",
            "address_2": "SUITE 107A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653170",
            "telephone_number": "336-802-2291",
            "fax_number": "336-802-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "336-802-2536"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Care Outreach Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Health Care, LLC (Cornerstone Behavioral Medicine Personalized Primary Care at Premier)
• Cornerstone Health Care, LLC (Cornerstone Hematology/Oncology at Premier)
• Cornerstone Health Care, LLC (Cornerstone Behavioral Medicine at Personalized Life Care)
• Cornerstone Health Care, LLC (Cornerstone Vascular Surgery)
• Cornerstone Health Care, LLC (Cornerstone Hematology-Oncology)
• Cornerstone Health Care, LLC (Cornerstone Imaging at Premier)
• Cornerstone Health Care, LLC (Triad Neurological Associates at Premier)
• Cornerstone Health Care, LLC (Cornerstone Behavioral Medicine @ Care Outreach Clinic)
• Cornerstone Health Care, LLC (HPU Student Health Services by Cornerstone Health Care)
• Cornerstone Health Care, LLC (Cornerstone Infusion Center at Premier)

• Family Medicine Physician in High Point, NC
• Providers in High Point, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.

Verify at the official NPI Registry.