Active NPI
Cornerstone Health Care PA
- Family Medicine Physician
- Thomasville, NC
National Provider Identifier
1710276027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CORNERSTONE HEALTH CARE PA
- Practice address
- 6329 Unity St
Ste I
Thomasville, NC 27360-7186 - Phone
- (336) 802-2270
- Fax
- (336) 802-2271
- NPI assigned
- Apr 7, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6329 Unity St
Ste I
Thomasville, NC 27360-7186
Mailing address
1701 Westchester Dr
Ste 850
High Point, NC 27262-7254
Phone (336) 802-2536
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908889 | Medicaid | NC | |
| CB8658 | Other | NC | RR MEDICARE |
Other names 1
- Cornerstone Family Medicine at Trinity
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- Winston Salem, NC
- NPI 1881460855
Member Of
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Asheboro, NC
- NPI 1326550484
-
- Cardiovascular Disease Physician
- High Point, NC
- NPI 1346209699
-
- Physician Assistant
- Winston Salem, NC
- NPI 1912483678
-
- Physician Assistant
- High Point, NC
- NPI 1043661432
-
- Otolaryngology Physician
- Greensboro, NC
- NPI 1669426615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351814400000",
"number": "1710276027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DR",
"address_2": "STE 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": "6329 UNITY ST",
"address_2": "STE I",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273607186",
"telephone_number": "336-802-2270",
"fax_number": "336-802-2271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2012-11-02",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908889",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CB8658",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Family Medicine at Trinity",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.