Cornerstone Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CORNERSTONE PEDIATRICS LLC

Practice address

298 Clear Sky CT Ste C
Clarksville, TN 37043-5685

Phone

(931) 444-9158

Fax

(931) 538-4673

NPI assigned

Nov 25, 2020

Organization subpart

No

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

Authorized official

Name

Kathy Griffieth, REGISTERED NURSE

Title

Office Manager-RN

Phone

(931) 444-9158

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22995/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992309389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 CLEAR SKY CT STE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435685",
            "telephone_number": "931-444-9158",
            "fax_number": "931-538-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 CLEAR SKY CT STE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435685",
            "telephone_number": "931-444-9158",
            "fax_number": "931-538-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFIETH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER-RN",
        "authorized_official_telephone_number": "931-444-9158",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q060939",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "48969",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antuan Eugenia Cornelius
• Jennifer Jones Cornell, DDS
• Cornerstone Caregiving East LLC
• Cornerstone Community Living
• Cornerstone Pediatric Therapies LLC
• Rob Allen Cornett, B.S.
• Wendell Aaron Cornett, COTA
• Sandra Melissa Corral
• Cosmic Counseling Services, PLLC
• Bessie Naomi Costanza, LCSW

• Pediatrics Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.