| Cornerstone Medical Group of West Virginia LLC | |
|
4914 Potomac Highlands Trl Green Bank WV 24944-8507 | |
| (681) 535-2277 | |
| (740) 619-7029 |
| Full Name | Cornerstone Medical Group of West Virginia LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4914 Potomac Highlands Trl, Green Bank, West Virginia |
| Authorized Official Name and Position | Jeri Sue Thomas (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 7405901181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Group of West Virginia LLC 27799 State Route 7 Cheshire OH 45620-9603 | Cornerstone Medical Group of West Virginia LLC 4914 Potomac Highlands Trl Green Bank WV 24944-8507 Ph: (681) 535-2277 |
| NPI Number | 1811877442 |
|---|---|
| Provider Enumeration Date | 09/04/2025 |
| Last Update Date | 02/16/2026 |
| Certification Date | 02/16/2026 |
| Medicare PECOS PAC ID | 1153807375 |
|---|---|
| Medicare Enrollment ID | O20260107004187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811877442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Jeri Sue Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881920387 PECOS PAC ID: 8224166632 Enrollment ID: I20100505000826 |
Community Care of Green Bank Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Route 28, Green Bank, WV 24944 Phone: 304-456-5115 Fax: 304-456-5117 |
Green Bank Elementary-middle School Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 1 Box 5, Green Bank, WV 24944 Phone: 304-456-4865 Fax: 304-456-5162 |
Pocahontas Medical Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 92, Green Bank, WV 24944 Phone: 304-456-4211 Fax: 304-456-5213 |