Active NPI
Cornerstone Family Practice, P.C.
- Specialist
- Dacula, GA
National Provider Identifier
1659551091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 043107
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08BBQMH | Other | GA | MEDICARE PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Hartwell, GA
- NPI 1891347381
-
- Family Medicine Physician
- Suwanee, GA
- NPI 1013965961
Single Specialty
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.