Cornelius L Alston, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15330 Issued in SC

Practice address

243 Singleton Ridge Rd
Unit G
Conway, SC 29526-8391

Phone

(843) 347-1000

Fax

(843) 347-1001

NPI assigned

Jul 6, 2006

Last updated

Dec 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied HLTH Ctr of N Myrtle Beach

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1053424119
  NPD (past)
• Alternative Health Clinic

  • Acupuncturist
  • Myrtle Beach, SC
  • NPI 1609808609
  NPD (past)
• McCann Chiropractic Center, PC

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1104869817
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1720019607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 SINGLETON RIDGE RD",
            "address_2": "UNIT G",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268391",
            "telephone_number": "843-347-1000",
            "fax_number": "843-347-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 SINGLETON RIDGE RD",
            "address_2": "UNIT G",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268391",
            "telephone_number": "843-347-1000",
            "fax_number": "843-347-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "CORNELIUS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "15330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153309",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rose Alfano
• Barbara M Alford, RN
• Siena Shields Alford, DO
• All About You Home Care, Inc.
• Raymond Keels Allen Jr., M.D.
• Tawan Binnetta Alston
• Lauren Claire Alvey, CACI
• Samuel Amankwah, MD
• Amedco South Carolina LLC (Atlantic Eye Associates)
• Amedisys Home Health of South Carolina LLC (Amedisys Home Health of Conway)

• Internal Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.