Cornerstone Health Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CORNERSTONE HEALTH CARE PA

Practice address

4515 Premier Drive
Suite 201
High Point, NC 27265-8350

Phone

(336) 802-2222

Fax

(336) 802-2351

NPI assigned

Mar 20, 2007

Organization subpart

No

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 2

Addresses

Other identifiers 9

Other names 1

• Cornerstone Convenience Care Clinic at Premier Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 5

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

• Cassandra Renee Gast, PAC

  • Physician Assistant
  • High Point, NC
  • NPI 1457040388
  NPD
• Megan Anderson Hunter, FNP-C

  • Nurse Practitioner
  • High Point, NC
  • NPI 1194130419
  NPD
• Michael John Kalish, MD

  • Family Medicine Physician
  • High Point, NC
  • NPI 1073533246
  NPD
• Katherine Agatha Tsamis, MD

  • Ophthalmology Physician
  • High Point, NC
  • NPI 1578946315

  Internal Medicine

  NPD
• Kayana Ward, MD

  • Obstetrics & Gynecology Physician
  • Asheboro, NC
  • NPI 1003207903
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1720103609",
    "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": "4515 PREMIER DRIVE",
            "address_2": "SUITE 201",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658350",
            "telephone_number": "336-802-2222",
            "fax_number": "336-802-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-11-03",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890281L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB8658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "D266",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "25864",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0281L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7030772",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4243",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4241",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD6614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Convenience Care Clinic at Premier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care PA
• Cornerstone Health Care, LLC

• 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 3, 2014; 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.