CORNER MEDICAL CENTER, INC (NPI# 1093940264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093940264 |
| Entity Type | Organization |
| Organization Name | CORNER MEDICAL CENTER, INC |
| Practice Address |
430 N 3rd Ave Chatsworth GA 30705-2540 |
| Mailing Address |
Po Box 99 430 North 3rd Ave Chatsworth GA 30705-0099 |
| Practice Telephone | 7066950446 |
| Practice Fax Number | 7065175157 |
| Mailing Telephone | 7066950446 |
| Mailing Fax Number | 7065175157 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | DR. JIM W RICHARDS (PRESIDENT) |
| Authorized Official Telephone | 7066950446 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
430 N 3RD AVE |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773356 | Corner Drugs Inc | Durable Medical Equipment & Medical Supplies | 430 N 3rd Ave, Chatsworth, GA 30705-2540 | 2006-06-02 |
| 1912519745 | Burgandy Ann Payne | Pharmacist | 430 N 3rd Ave, Chatsworth, GA 30705-2540 | 2020-08-21 |
| 1548872336 | Corner Drugs Inc | Pharmacy | 430 N 3rd Ave, Chatsworth, GA 30705-2540 | 2020-08-21 |
| 1083268460 | Hollie Hobbs Fowler | Pharmacist | 430 N 3rd Ave, Chatsworth, GA 30705-2540 | 2019-07-24 |
| 1134780976 | Hiram Douglas Keith Coffey Jr. | Pharmacist | 430 N 3rd Ave, Chatsworth, GA 30705-2540 | 2019-06-24 |
| 1285811109 | James Richards | Pharmacist | 430 N 3rd Ave, Chatsworth, GA 30705-2540 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| Find all providers in zip 30705 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598107096 | Jessica Barragan | Clinic/Center | 208 La Gross Way, Chatsworth, CA 91311-7047 | 2013-07-24 |
| 1306334222 | County of Los Angeles | Clinic/Center | 20151 Nordhoff St, Chatsworth, CA 91311-6215 | 2018-04-26 |
| 1508205006 | C-worth Family Walk-in Clinic | Clinic/Center | 2976 Highway 76, Ste B, Chatsworth, GA 30705-6981 | 2013-06-18 |
| 1518029966 | The Health Depot | Clinic/Center | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2073 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
Please comment or provide details below to improve the information on CORNER MEDICAL CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.