Active NPI
Thomas Paul Cornwall, MD
- Psychiatry Physician
- Raleigh, NC
National Provider Identifier
1821178740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18400
- Practice address
- 3019 Falstaff Rd
Raleigh, NC 27610-1812 - Phone
- (919) 250-7000
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 18400 | NC | |
| Psychiatry Physician | 2084P0800X | 18400 | NC | Primary |
Addresses
Primary practice location
3019 Falstaff Rd
Raleigh, NC 27610-1812
Mailing address
760 Bear Tree CRK
Chapel Hill, NC 27517-7662
Phone (919) 247-7992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18400 | NC | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596326400000",
"number": "1821178740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BEAR TREE CRK",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177662",
"telephone_number": "919-247-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 FALSTAFF RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101812",
"telephone_number": "919-250-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNWALL",
"first_name": "THOMAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2020-08-02",
"certification_date": "2020-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NC",
"license": "18400",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "18400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.