Active NPI
Cornerstone Health Care, PA
- Family Medicine Physician
- High Point, NC
National Provider Identifier
1750406989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CORNERSTONE HEALTH CARE, PA
- Practice address
- 4515 Premier Drive
Suite 402
High Point, NC 27265-8356 - Phone
- (336) 802-2210
- Fax
- (336) 802-2211
- NPI assigned
- Mar 20, 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
- Grace E Terrell
- Title
- President / Ceo
- Phone
- (336) 802-2400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
4515 Premier Drive
Suite 402
High Point, NC 27265-8356
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2536
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B0216 | Other | NC | MEDCOST |
| D266 | Other | NC | PARTNERS |
| 7765735 | Other | NC | AETNA |
| CD6614 | Other | NC | RR MEDICARE |
| CC4243 | Other | NC | RR MEDICARE |
| CD8658 | Other | NC | RR MEDICARE |
| 89016FX | Medicaid | NC | |
| CC4241 | Other | NC | RR MEDICARE |
| 016FX | Other | NC | BCBS |
Other names 1
- Cornerstone Premier Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4515 Premier Dr
Ste 402
High Point, NC 27265
Phone (336) 802-2125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- High Point, NC
- NPI 1013160621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1750406989",
"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 402",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658356",
"telephone_number": "336-802-2210",
"fax_number": "336-802-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2014-05-14",
"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"
},
"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
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B0216",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "D266",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7765735",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CD6614",
"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": "CD8658",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89016FX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4241",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "016FX",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Premier Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.