Organization Active NPI

Cornerstone Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cumming, GA
National Provider Identifier
1790575405
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CORNERSTONE RECOVERY LLC
Practice address
102 Colony Park Dr Ste 800
Cumming, GA 30040-2790
Phone
(678) 858-8748
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Mr. Samuel Zoerb
Title
Organizer/Administrator
Phone
(209) 595-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

102 Colony Park Dr Ste 800
Cumming, GA 30040-2790

Mailing address

102 Colony Park Dr Ste 800
Cumming, GA 30040-2790

National Provider Directory

National Provider Directory

Locations

102 Colony Park Dr
Ste 800
Cumming, GA 30040
Phone (678) 858-8748

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1790575405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COLONY PARK DR STE 800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COLONY PARK DR STE 800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402790",
            "telephone_number": "678-858-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ZOERB",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ORGANIZER/ADMINISTRATOR",
        "authorized_official_telephone_number": "209-595-8587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.