JUAN A CORNEJO MD
NPI 1154374445
Family Medicine in Little River, SC

Active since May 18, 2006
4303 LIVE OAK DRIVE, LITTLE RIVER, SC 29566(843) 663-8000 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan A Cornejo Md NPPES

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

JUAN A CORNEJO MD (NPI 1154374445) is an individual family medicine provider in Little River, South Carolina, licensed in South Carolina (7783) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1154374445
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUAN A CORNEJOCredential: MD
Location Address4303 LIVE OAK DRIVELittle River, SC 29566
Mailing AddressPo Box 547Little River, SC 29566 · (843) 663-8000
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 26, 2015
NPI 1154374445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 7783
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4303 LIVE OAK DRIVE, Little River, SC 29566

Other Identifiers 3

Medicare UPINB92377
Medicaid007838SC
Medicare PINB923771879SC

Other Providers at the Same Location NPPES 3

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

Internal Medicine
4303 LIVE OAK DRIVE
LITTLE RIVER, SC 29566
Family Medicine
4303 LIVE OAK DRIVE
LITTLE RIVER, SC 29566
Nurse Practitioner (Family)
4303 LIVE OAK DRIVE
LITTLE RIVER, SC 29566

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 Juan Cornejo's NPI number?

The NPI number for Juan Cornejo is 1154374445. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Juan Cornejo located?

Juan Cornejo practices at 4303 Live Oak Drive, Little River, SC 29566. The listed phone number is (843) 663-8000.

What is Juan Cornejo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Juan Cornejo was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.