CORNERSTONE FAMILY MEDICAL CENTER LLC
NPI 1255097333
Family Medicine in Columbus, MS
About Cornerstone Family Medical Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNERSTONE FAMILY MEDICAL CENTER LLC (NPI 1255097333) is a healthcare organization registered as a family medicine in Columbus, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Cindy Vaughan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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 Medical Center Llc 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 Medical Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 25D2245517
Cornerstone Family Medical Center LLC · Columbus, MSFrequently 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 Medical Center LLC's NPI number?
The NPI number for Cornerstone Family Medical Center LLC is 1255097333. It was assigned to this organization in the NPPES registry on November 12, 2021.
Where is Cornerstone Family Medical Center LLC located?
Cornerstone Family Medical Center LLC is located at 111 Alabama St, Columbus, MS 39702. The listed phone number is (662) 570-4636.
What is Cornerstone Family Medical Center LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cornerstone Family Medical Center LLC enrolled in Medicare?
Yes. Cornerstone Family Medical Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cornerstone Family Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cornerstone Family Medical Center LLC. 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 Medical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2245517) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cornerstone Family Medical Center LLC accept?
Health plans from Molina Healthcare list Cornerstone Family Medical Center LLC 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 Medical Center LLC was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Medical Center Llc · NPI 1255097333
Family Medicine organization in Columbus, Mississippi. Organization record, active in the CMS NPPES registry since November 12, 2021.
## Identity
- **NPI:** 1255097333 (Entity type: Organization)
- **Enumerated:** November 12, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Cindy Vaughan, OWNER
## Practice location
- **Address:** 111 ALABAMA ST, Columbus, MS 39702-5220
- **Phone:** (662) 570-4636
## 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:** November 12, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255097333) · Data from the CMS NPPES public registry.