CORNERSTONE MEDICAL MANAGEMENT LLC
NPI 1114410974
Pediatrics in Perry, GA
NPI Status: Active since June 07, 2018
Contact Information
1024 KEITH DR
PERRY, GA
ZIP 31069
Phone: (478) 987-3445
Fax: (478) 987-3102
- Organization
- Pediatrics
- CLIA Number: 11D0690311
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-27-2026
About CORNERSTONE MEDICAL MANAGEMENT LLC
This page provides the complete NPI Profile along with additional information for Cornerstone Medical Management Llc, a pediatrician established in Perry, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1114410974 assigned on June 2018. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Susan Sanders (Ceo)
- NPI
- 1114410974
- Provider Name
- CORNERSTONE MEDICAL MANAGEMENT LLC
- Entity Type
- Organization
- Location Address
- 1024 KEITH DR PERRY, GA 31069
- Location Phone
- (478) 987-3445
- Location Fax
- (478) 987-3102
- Mailing Address
- 300 MARGIE DR WARNER ROBINS, GA 31088
- Mailing Phone
- (478) 751-2580
- Mailing Fax
- (478) 987-3102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2018
- Last Update Date
- 06-07-2018
- Code Navigator
A pediatrician like Cornerstone Medical Management Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0690311
- Facility Type
- Physician Office
- Certificate Effective Date
- February 29, 2024
- Certificate Expiration Date
- February 27, 2026
- Laboratory Director
- TITUS TAUBE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Cornerstone Medical Management Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114410974, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114410974, enumerated as an "organization" on June 07, 2018.
The provider is located at 1024 KEITH DR PERRY, GA 31069 and the phone number is (478) 987-3445.
Pediatrics with taxonomy code 208000000X.
