Individual provider Active NPI

David Henry Cornell, MD

  • Specialist
  • Atlanta, GA
National Provider Identifier
1831297225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
GA031897 Issued in GA
Practice address
993 Johnson Ferry Rd NE Ste C225
Atlanta, GA 30342-1665
Phone
(404) 255-2855
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X GA031897 GA Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE Ste C225
Atlanta, GA 30342-1665

Mailing address

993 Johnson Ferry Rd NE Ste C225
Atlanta, GA 30342-1665
Phone (404) 255-2855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20111004000375 GA Practitioner - Urology 9830262468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Alabama School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

993 Johnson Ferry Rd NE
Suite C 225
Atlanata, GA 30342-1665
Phone (404) 255-2855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA031897GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
David H. Cornell, M.D., LLC Specialist CurrentSince Sep 20, 2011 Accepting new patients

Locations

993 Johnson Ferry Rd
Ste C225
Sandy Springs, GA 30342
Phone (404) 255-2855

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831297225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE STE C225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421665",
            "telephone_number": "404-255-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE STE C225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421665",
            "telephone_number": "404-255-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "DAVID",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "GA031897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.