CORNERSTONE MEDICAL GROUP
NPI 1275515967
Internal Medicine in Dalton, GA
NPI Status: Active since November 17, 2005
Contact Information
914 VISTA DRIVE
DALTON, GA
ZIP 30721
Phone: (706) 226-3139
Fax: (706) 278-6606
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 11D0693402
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About CORNERSTONE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Cornerstone Medical Group, an internist established in Dalton, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1275515967 assigned on November 2005. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Cornerstone Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Eric Jensen M.d. (President)
- NPI
- 1275515967
- Provider Name
- CORNERSTONE MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 914 VISTA DRIVE DALTON, GA 30721
- Location Phone
- (706) 226-3139
- Location Fax
- (706) 278-6606
- Mailing Address
- 914 VISTA DRIVE DALTON, GA 30721
- Mailing Phone
- (706) 226-3139
- Mailing Fax
- (706) 278-6606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-17-2005
- Last Update Date
- 08-19-2024
- Code Navigator
An internist like Cornerstone Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0693402
- Facility Type
- Physician Office
- Certificate Effective Date
- May 26, 2023
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- KERRY NEISES
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Cornerstone Medical Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 1 | 5 | 9 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 1 | 10 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 1 + 1 + 0 + 9 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1275515967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053366286 | DR. WILLIAM T BOYETT JR. M.D. Individual | Family Medicine | 914 VISTA DRIVE DALTON, GA 30721 (706) 226-3139 |
| 1235136052 | DR. ERIC E. JENSEN M.D. Individual | Internal Medicine | 914 VISTA DRIVE DALTON, GA 30721 (706) 226-3139 |
| 1255338034 | MRS. PHUONG LYNH TA M.D. Individual | Internal Medicine | 914 VISTA DRIVE DALTON, GA 30721 (706) 226-3139 |
| 1689671372 | DR. KERRY A NEISES MD Individual | Family Medicine | 914 VISTA DRIVE DALTON, GA 30721 (706) 226-3139 |
| 1831143304 | DR. STANFORD VOEGELE M.D. Individual | Internal Medicine | 914 VISTA DRIVE DALTON, GA 30721 (706) 226-3139 |
| 1912905464 | MRS. MAE D JOHNSON FNP Individual | Nurse Practitioner | 914 VISTA DRIVE DALTON, GA 30721 (706) 226-3139 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275515967, enumerated in the NPI registry as an "organization" on November 17, 2005
The provider is located at 914 Vista Drive Dalton, Ga 30721 and the phone number is (706) 226-3139
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0693402 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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