CORNERSTONE FAMILY MEDICAL CENTER LLC
NPI 1255097333
Family Medicine in Columbus, MS

Active since November 12, 2021CLIA 25D2245517 · Waiver
111 ALABAMA ST, COLUMBUS, MS 39702(662) 570-4636 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1255097333
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORNERSTONE FAMILY MEDICAL CENTER LLC
Location Address111 ALABAMA STColumbus, MS 39702-5220
Mailing Address111 Alabama StColumbus, MS 39702-5220 · (662) 570-4636
Organization SubpartNo
Authorized OfficialCindy VaughanOwner · (662) 570-4636
Enumeration DateNovember 12, 2021
NPPES CertifiedNovember 12, 2021
NPI 1255097333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
111 ALABAMA ST, Columbus, MS 39702

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, MS
Active · expires Dec 13, 2027
CLIA Number25D2245517
Laboratory TypePractitioner Other
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorCharlene Vaughan
Laboratory Phone(662) 570-4636
Laboratory LocationCornerstone Family Medical Center LLC111 Alabama St, Columbus, MS 39702
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 4

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

Chiropractor
111 ALABAMA ST
COLUMBUS, MS 39702
Chiropractor
111 ALABAMA ST
COLUMBUS, MS 39702
Nurse Practitioner (Family)
111 ALABAMA ST
COLUMBUS, MS 39702
Chiropractor
111 ALABAMA ST
COLUMBUS, MS 39702

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 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.

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.