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CORNER STONE PHC, LLC
NPI 1083388284
Home Health in Mcdonough, GA

Active since August 03, 2021CLIA 11D2270330 · Waiver
624 LOCKERBIE TER, MCDONOUGH, GA 30252(678) 704-9143 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corner Stone Phc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNER STONE PHC, LLC (NPI 1083388284) is a healthcare organization registered as a home health in Mcdonough, Georgia and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Tanya Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1083388284
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCORNER STONE PHC, LLC
Location Address624 LOCKERBIE TERMcdonough, GA 30252-3147
Mailing Address624 Lockerbie TerMcdonough, GA 30252-3147
Phone(678) 704-9143
Organization SubpartNo
Authorized OfficialTanya WilliamsOwner · (678) 704-9143
Enumeration DateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1083388284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
624 LOCKERBIE TER, Mcdonough, GA 30252
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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 11D2270330

Corner Stone Phc, LLC · Stockbridge, GA
Active · expires Oct 12, 2026
CLIA Number11D2270330
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorKathy Reid
Laboratory Phone(678) 704-9143
Laboratory LocationCorner Stone Phc, LLC10 Wilson Road, Suite 104, Stockbridge, GA 30281
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Corner Stone Phc, LLC's NPI number?

The NPI number for Corner Stone Phc, LLC is 1083388284. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is Corner Stone Phc, LLC located?

Corner Stone Phc, LLC is located at 624 Lockerbie Ter, Mcdonough, GA 30252. The listed phone number is (678) 704-9143.

What is Corner Stone Phc, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Corner Stone Phc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2270330) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corner Stone Phc, LLC was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.