James Cornwell (NPI# 1548250830, PAC ID# 2860443678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548250830 |
| PAC ID by PECOS | 2860443678 |
| Professional Enrollment ID | I20050209000005 |
| Full Name | James Cornwell |
| Organization Legal Name | R. T. STANLEY HEALTH CENTER, LLC |
| Address |
110 Rt Stanley Sr Pl Lyons GA 30436-5623 |
| Phone Number | 9125269355 |
| Gender | M |
| Credential | MD |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406034453 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 | 9125269355 | R. T. STANLEY HEALTH CENTER, LLC |
| Organization Legal Name | R. T. STANLEY HEALTH CENTER, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen R Dunham-bridges | Nurse Practitioner | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Elizabeth Maimo | Nurse Practitioner | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Maria F. Acosta | Internal Medicine | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Christina M Dacey | Physician Assistant | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Street Address |
110 RT STANLEY SR PL |
| City | LYONS |
| State | GA |
| Zip | 30436-5623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen R Dunham-bridges | Nurse Practitioner | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Elizabeth Maimo | Nurse Practitioner | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Maria F. Acosta | Internal Medicine | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Christina M Dacey | Physician Assistant | R. T. Stanley Health Center, LLC | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben Belton Neely | General Practice | 112 N Washington St, Lyons, GA 30436-1179 | |
| Gina F Winnette | Nurse Practitioner | Toombs County Board of Health | 714 Nw Broad St, Lyons, GA 30436-5648 |
| Hazel E Mead | Nurse Practitioner | Toombs County Board of Health | 714 Nw Broad St, Lyons, GA 30436-5648 |
| City | LYONS |
| Zip Code | 30436 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LYONS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James Cornwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.