CORNERSTONE MEDICAL, LLC
NPI 1104549948
Internal Medicine in Joplin, MO

Q: What is Cornerstone Medical, LLC's NPI number?

The NPI number for Cornerstone Medical, LLC is 1104549948. It was assigned to this organization in the NPPES registry on September 26, 2022.

Q: What is Cornerstone Medical, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 26, 2022CLIA 26D2273356 · Waiver

2613 S MAIN ST STE D, JOPLIN, MO 64804(417) 624-8730 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Cornerstone Medical, Llc NPPES

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

CORNERSTONE MEDICAL, LLC (NPI 1104549948) is a healthcare organization registered as an internal medicine in Joplin, Missouri and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through December 11, 2026, maintains a secondary practice location in Granby, and lists Joseph Kirk Sheppard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104549948

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCORNERSTONE MEDICAL, LLC

Location Address2613 S MAIN ST STE DJoplin, MO 64804-2678

Mailing Address2613 S Main St Ste DJoplin, MO 64804-2678 · (417) 553-7920 · Fax (877) 464-5922

Phone(417) 624-8730

Organization SubpartNo

Authorized OfficialJoseph Kirk SheppardCeo · (417) 379-1176

Enumeration DateSeptember 26, 2022

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1104549948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X

Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X

2613 S MAIN ST STE D, Joplin, MO 64804

Open in Google Maps ↗

Secondary Practice Location 1

Location 1308 N Main StGranby, MO 64844-8357 · Phone (417) 553-7920 · Fax (877) 464-5922

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 26D2273356

Cornerstone Medical · Joplin, MO

Active · expires Dec 11, 2026

CLIA Number26D2273356

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorJoseph Sheppard

Laboratory Phone(417) 553-7920

Laboratory LocationCornerstone Medical2702 Cunningham Ave Ste A, Joplin, MO 64804

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2308989

Cornerstone Medical LLC · Granby, MO

Expired · Aug 6, 2026

CLIA Number26D2308989

Laboratory TypePhysician Office

Certificate Effective DateAugust 7, 2024

Certificate Expiration DateAugust 6, 2026

Laboratory DirectorJoseph K. Sheppard

Laboratory Phone(417) 553-7920

Laboratory LocationCornerstone Medical LLC308 N Main St, Granby, MO 64844

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN BOUNOUS NP

Nurse Practitioner (Family)