| Cornerstone Medical Group Pc | |
|
1107 Memorial Dr Suite 300 Dalton GA 30720-8662 | |
| (706) 226-3139 | |
| (706) 278-6606 |
| Full Name | Cornerstone Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1107 Memorial Dr, Dalton, Georgia |
| Authorized Official Name and Position | Anne Richmond (BILLING OFFICE MANAGER) |
| Authorized Official Contact | 7062263139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Group Pc 1107 Memorial Dr Suite 300 Dalton GA 30720-8662 Ph: (706) 226-3139 | Cornerstone Medical Group Pc 1107 Memorial Dr Suite 300 Dalton GA 30720-8662 Ph: (706) 226-3139 |
| NPI Number | 1275515967 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 12/17/2013 |
| Medicare PECOS PAC ID | 3971575390 |
|---|---|
| Medicare Enrollment ID | O20040806000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275515967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Eric E Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235136052 PECOS PAC ID: 2860467875 Enrollment ID: I20040901000490 |
| Provider Name | William T Boyett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053366286 PECOS PAC ID: 5890751655 Enrollment ID: I20041203000636 |
| Provider Name | Stanford Voegele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831143304 PECOS PAC ID: 5496659807 Enrollment ID: I20060413000262 |
| Provider Name | Kerry A Neises |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689671372 PECOS PAC ID: 7416099726 Enrollment ID: I20100225000292 |
| Provider Name | Phuong-lynh Nguyen Ta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255338034 PECOS PAC ID: 3072646215 Enrollment ID: I20100809000552 |
| Provider Name | Eric E Jensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235136052 PECOS PAC ID: 2860467875 Enrollment ID: I20100826000821 |
| Provider Name | Mae D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912905464 PECOS PAC ID: 5991829996 Enrollment ID: I20100827000297 |
| Provider Name | Jenna Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891331575 PECOS PAC ID: 9133556111 Enrollment ID: I20200304001044 |
Griggs Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Broadrick Dr, Dalton, GA 30720 Phone: 706-529-4266 Fax: 706-529-4269 | |
Mednow, Inc, Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2709 Airport Rd, Suite 101, Dalton, GA 30721 Phone: 706-275-4444 Fax: 706-275-6515 | |
I D Specialist Dalton P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Walnut Ave Ste 4, Dalton, GA 30721 Phone: 706-428-8908 | |
Traditions Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1209 Starr Dr, Dalton, GA 30720 Phone: 706-217-1926 Fax: 706-217-1927 | |
Shaw Family Health Center Plant Wd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Abutment Rd, Dalton, GA 30721 Phone: 706-532-2588 Fax: 706-532-2589 | |
Walmart Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Shugart Rd, Dalton, GA 30720 Phone: 706-277-7661 Fax: 706-277-7669 | |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Antioch Rd, Dalton, GA 30721 Phone: 706-275-7660 Fax: 706-275-0013 |