Organization Active NPI

Cornerstone Family Practice, P.C.

  • Specialist
  • Dacula, GA
National Provider Identifier
1659551091
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
043107 Issued in GA
Legal business name
CORNERSTONE FAMILY PRACTICE, P.C.
Practice address
2098 Teron Trce
Suite 400
Dacula, GA 30019-1663
Phone
(770) 904-2112
Fax
(678) 546-3687
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Veronica Michelle Patterson, M.D.
Title
Owner
Phone
(770) 904-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 043107 GA Primary

Addresses

Primary practice location

2098 Teron Trce
Suite 400
Dacula, GA 30019-1663

Mailing address

2098 Teron Trce
Suite 400
Dacula, GA 30019-1663
Phone (770) 904-2112

Other identifiers 1

IdentifierTypeStateIssuer
08BBQMHOtherGAMEDICARE PROVIDER ID

National Provider Directory

National Provider Directory

Locations

641 Hospital Rd
Ste 4
Commerce, GA 30529
Phone (706) 335-2777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1659551091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 TERON TRCE",
            "address_2": "SUITE 400",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191663",
            "telephone_number": "770-904-2112",
            "fax_number": "678-546-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 TERON TRCE",
            "address_2": "SUITE 400",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191663",
            "telephone_number": "770-904-2112",
            "fax_number": "678-546-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-904-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "043107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "08BBQMH",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.