Individual provider Active NPI

John D Kornmayer, DO

  • Family Medicine Physician
  • Columbus, NC
National Provider Identifier
1992878227
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9800939 Issued in NC
Practice address
45 E Mills St.
Columbus, NC 28722
Phone
(828) 894-8213
Fax
(828) 894-5775
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9800939 NC Primary

Addresses

Primary practice location

45 E Mills St.
Columbus, NC 28722

Mailing address

PO Box 608
Columbus, NC 28722-0608
Phone (828) 894-8213

Other identifiers 1

IdentifierTypeStateIssuer
891155AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080604000577 NC Practitioner - Family Practice 3173693090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Henderson County Urgent Care Center IncGroup PAC ID 2466407572, 25 clinicians

Practice addresses (Care Compare)

2695 Hendersonville Rd
Arden, NC 28704-8576
Phone (828) 651-6350

589 Peniel Rd
Columbus, NC 28722-9470
Phone (828) 894-8213

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Asheville, NC, CCN 347235
  • Enhabit Home Health Home health agency, Marion, NC, CCN 347044
  • Advent Health Polk Hospital, Columbus, NC, CCN 341322
  • Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Urgent Care Center Inc CurrentSince Aug 1, 2015 Accepting new patients
Columbus Medical Associates PA Family Medicine CurrentSince Jan 18, 1997 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Henderson County Hospital Corporation Family Medicine PastSince Aug 1, 2015 Accepting new patients

Locations

2695 Hendersonville Rd
Arden, NC 28704
Phone (828) 651-6350

45 E Mills St
Columbus, NC 28722
Phone (828) 894-8213

589 Peniel Rd
Columbus, NC 28722
Phone (828) 693-5010

212 Thompson St
Ste A
Hendersonvlle, NC 28792
Phone (828) 697-3232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6436/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.kornmayer.1@33697.direct.athenahealth.com
  • Direct secure messaging: john.kornmayer.1@6436.direct.athenahealth.com
  • Direct secure messaging: jkornmayer148025@direct.unc.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1992878227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287220608",
            "telephone_number": "828-894-8213",
            "fax_number": "828-894-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E MILLS ST.",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "28722",
            "telephone_number": "828-894-8213",
            "fax_number": "828-894-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNMAYER",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9800939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891155A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

Verify at the official NPI Registry.