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CORNERSTONE MEDICAL GROUP
NPI 1275515967
Internal Medicine in Dalton, GA

Active since November 17, 2005CLIA 11D0693402 · Certificate of Compliance
914 VISTA DRIVE, DALTON, GA 30721(706) 226-3139(706) 278-6606 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cornerstone Medical Group NPPES

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

CORNERSTONE MEDICAL GROUP (NPI 1275515967) is a healthcare organization registered as an internal medicine in Dalton, Georgia and active in the NPI registry since November 2005. The organization holds a CLIA Certificate of Compliance certificate valid through May 25, 2027 and lists Eric Jensen, President, as its authorized official.

NPPES Registry Identity

NPI1275515967
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCORNERSTONE MEDICAL GROUP
Location Address914 VISTA DRIVEDalton, GA 30721-8654
Mailing Address914 Vista DriveDalton, GA 30721-8654 · (706) 226-3139 · Fax (706) 278-6606
Phone(706) 226-3139
Fax(706) 278-6606
Organization SubpartNo
Authorized OfficialEric JensenPresident · (706) 226-3139
Enumeration DateNovember 17, 2005
Last NPPES UpdateAugust 19, 2024
✔ NPI 1275515967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
914 VISTA DRIVE, Dalton, GA 30721
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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

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 Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Cornerstone Medical Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

William Boyett, M.D.
Family Practice
NPI 1053366286
914 VISTA DRIVE
Dalton, GA 30721
(706) 226-3139
✔ PECOS✔ Accepts MedicareSame address
Eric Jensen, M.D.
Internal Medicine
NPI 1235136052
914 VISTA DRIVE
Dalton, GA 30721
(706) 226-3139
✔ PECOS✔ Accepts MedicareSame address
Kerry Neises, MD
Family Practice
NPI 1689671372
914 VISTA DRIVE
Dalton, GA 30721
(706) 226-3139
✔ PECOS✔ Accepts MedicareSame address
Phuong-Lynh Ta, M.D.
Internal Medicine
NPI 1255338034
914 VISTA DRIVE
Dalton, GA 30721
(706) 226-3139
✔ PECOS✔ Accepts MedicareSame address
Stanford Voegele, M.D.
Internal Medicine
NPI 1831143304
914 VISTA DRIVE
Dalton, GA 30721
(706) 226-3139
✔ PECOS✔ Accepts MedicareSame address
Jenna Barnes Caron, AGPCNPBC
Nurse Practitioner
NPI 1891331575
1107 MEMORIAL DR STE 300
Dalton, GA 30720
(706) 226-3139
✔ PECOS✔ Accepts Medicare1.8 mi
Holly Bottoms, A-GNP-C
Nurse Practitioner
NPI 1538547609
1200 MEMORIAL DR
Dalton, GA 30720
(706) 272-6000
✔ PECOS✔ Accepts Medicare1.8 mi

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 Compliance 11D0693402

Cornerstone Medical Group · Dalton, GA
Active · expires May 25, 2027
CLIA Number11D0693402
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorKerry Neises
Laboratory Phone(706) 226-3139
Laboratory LocationCornerstone Medical Group914 Vista Drive, Dalton, GA 30721
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Medical Group's NPI number?

The NPI number for Cornerstone Medical Group is 1275515967. It was assigned to this organization in the NPPES registry on November 17, 2005.

Where is Cornerstone Medical Group located?

Cornerstone Medical Group is located at 914 Vista Drive, Dalton, GA 30721. The listed phone number is (706) 226-3139.

What is Cornerstone Medical Group's specialty?

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

Is Cornerstone Medical Group enrolled in Medicare?

Yes. Cornerstone Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cornerstone Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Cornerstone Medical Group. 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. The largest specialties are Internal Medicine (3), Family Practice (2) and Nurse Practitioner (2). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cornerstone Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0693402) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cornerstone Medical Group was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.