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CORNERSTONE PEDIATRICS LLC
NPI 1295233211
Pediatrics in Dacula, GA

Active since January 24, 2018CLIA 11D2141641 · Waiver
2700 BRASELTON HWY STE 1, DACULA, GA 30019(678) 543-9400 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cornerstone Pediatrics Llc NPPES

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

CORNERSTONE PEDIATRICS LLC (NPI 1295233211) is a healthcare organization registered as a pediatrics in Dacula, Georgia and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Jennifer Cantrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1295233211
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCORNERSTONE PEDIATRICS LLC
Location Address2700 BRASELTON HWY STE 1Dacula, GA 30019-3207
Mailing Address2700 Braselton Hwy Ste 1Dacula, GA 30019-3207 · (678) 543-9400
Phone(678) 543-9400
Organization SubpartNo
Authorized OfficialJennifer CantrellOwner · (404) 394-8001
Enumeration DateJanuary 24, 2018
✔ NPI 1295233211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 043986✔ Licensed in GA · RN166999✔ Licensed in GA · RN170835
Definition

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.

2700 BRASELTON HWY STE 1, Dacula, GA 30019
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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

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 11D2141641

Cornerstone Pediatrics · Dacula, GA
Active · expires Dec 18, 2027
CLIA Number11D2141641
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorJennifer S. Cantrell
Laboratory Phone(404) 394-8001
Laboratory LocationCornerstone Pediatrics2700 Braselton Highway, Suite 1, Dacula, GA 30019
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatrics LLC's NPI number?

The NPI number for Cornerstone Pediatrics LLC is 1295233211. It was assigned to this organization in the NPPES registry on January 24, 2018.

Where is Cornerstone Pediatrics LLC located?

Cornerstone Pediatrics LLC is located at 2700 Braselton Hwy Ste 1, Dacula, GA 30019. The listed phone number is (678) 543-9400.

What is Cornerstone Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Cornerstone Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2141641) is associated with this NPI, valid through December 18, 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 Pediatrics LLC was last updated on January 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.