CORY MCCORMICK, LLC
NPI 1043069115
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL
About Cory Mccormick, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORY MCCORMICK, LLC (NPI 1043069115) is a healthcare organization registered as a psychiatric/mental health in Jacksonville, Florida and active in the NPI registry since May 2024. The organization lists Cory Lee Mccormick, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cory Mccormick, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cory Mccormick, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cory Mccormick, LLC's NPI number?
The NPI number for Cory Mccormick, LLC is 1043069115. It was assigned to this organization in the NPPES registry on May 13, 2024.
Where is Cory Mccormick, LLC located?
Cory Mccormick, LLC is located at 710 13th Ave S, Jacksonville, FL 32250. The listed phone number is (904) 322-3475.
What is Cory Mccormick, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Cory Mccormick, LLC enrolled in Medicare?
Yes. Cory Mccormick, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cory Mccormick, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cory Mccormick, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cory Mccormick, LLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cory Mccormick, Llc · NPI 1043069115
Psychiatric/Mental Health organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since May 13, 2024.
## Identity
- **NPI:** 1043069115 (Entity type: Organization)
- **Enumerated:** May 13, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Cory Mccormick, OWNER
## Practice location
- **Address:** 710 13TH AVE S, Jacksonville, FL 32250-5032
- **Phone:** (904) 322-3475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043069115) · Data from the CMS NPPES public registry.