CORNERSTONE FAMILY PRACTICE & URGENT CARE, PLLC
NPI 1083087837
Clinic/Center - Primary Care in Fayetteville, NC
About Cornerstone Family Practice & Urgent Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNERSTONE FAMILY PRACTICE & URGENT CARE, PLLC (NPI 1083087837) is a healthcare organization registered as a primary care in Fayetteville, North Carolina and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Georgia Buckley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cornerstone Family Practice & Urgent Care, Pllc 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 Cornerstone Family Practice & Urgent Care, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Winston Salem, NC 27103
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2108724
Cornerstone Family Practice & Urgent Care · Fayetteville, NCFrequently 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 Cornerstone Family Practice & Urgent Care, PLLC's NPI number?
The NPI number for Cornerstone Family Practice & Urgent Care, PLLC is 1083087837. It was assigned to this organization in the NPPES registry on November 2, 2015.
Where is Cornerstone Family Practice & Urgent Care, PLLC located?
Cornerstone Family Practice & Urgent Care, PLLC is located at 1536 Owen Park Ln, Fayetteville, NC 28304. The listed phone number is (910) 307-1576.
What is Cornerstone Family Practice & Urgent Care, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cornerstone Family Practice & Urgent Care, PLLC enrolled in Medicare?
Yes. Cornerstone Family Practice & Urgent Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cornerstone Family Practice & Urgent Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cornerstone Family Practice & Urgent Care, PLLC. 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.
Does Cornerstone Family Practice & Urgent Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2108724) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cornerstone Family Practice & Urgent Care, PLLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Cornerstone Family Practice & Urgent Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cornerstone Family Practice & Urgent Care, PLLC was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Cornerstone Family Practice & Urgent Care, Pllc · NPI 1083087837
Primary Care organization in Fayetteville, North Carolina. Organization record, active in the CMS NPPES registry since November 2, 2015.
## Identity
- **NPI:** 1083087837 (Entity type: Organization)
- **Enumerated:** November 2, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Georgia Buckley, PRESIDENT
## Practice location
- **Address:** 1536 OWEN PARK LN, Fayetteville, NC 28304-3454
- **Phone:** (910) 307-1576 · **Fax:** (910) 500-3117
## 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:** August 10, 2023
- **Other identifiers:** Other F766 (NC)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1083087837) · Data from the CMS NPPES public registry.