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CORNERSTONE FAMILY MEDICINE
NPI 1376664540
Family Medicine in Mesa, AZ

Active since April 03, 2007CLIA 03D0996967 · Waiver
4545 E SOUTHERN AVE STE 103, MESA, AZ 85206(480) 981-6100(480) 981-5501 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornerstone Family Medicine NPPES

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

CORNERSTONE FAMILY MEDICINE (NPI 1376664540) is a healthcare organization registered as a family medicine in Mesa, Arizona and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Kendra Thompson, Director, as its authorized official.

NPPES Registry Identity

NPI1376664540
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJR MEDICAL GROUP, PLC
Location Address4545 E SOUTHERN AVE STE 103Mesa, AZ 85206-2677
Mailing Address4545 E Southern Ave, Suite 103Mesa, AZ 85206 · (480) 981-6100 · Fax (480) 981-5501
Phone(480) 981-6100
Fax(480) 981-5501
Organization SubpartNo
Authorized OfficialKendra ThompsonDirector · (480) 981-6100
Enumeration DateApril 3, 2007
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 3, 2022
✔ NPI 1376664540 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.
4545 E SOUTHERN AVE STE 103, Mesa, AZ 85206
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Other Names 1

Doing Business AsCornerstone Family Medicine

Other Identifiers 5

Medicaid489254AZ
Medicaid411863AZ
Other080179242AZ · Railroad Medicare Provider #
Other080181881AZ · Railroad Medicare Provider Id #
Medicaid482323AZ

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

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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 03D0996967

Cornerstone Family Medicine · Mesa, AZ
Active · expires Feb 29, 2028
CLIA Number03D0996967
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorJeffery D. Wilden
Laboratory Phone(480) 981-6100
Laboratory LocationCornerstone Family Medicine4545 E Southern Ave Ste 103, Mesa, AZ 85206
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 3

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

KYLE HATFIELD DO
Family Medicine
4545 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 981-6100
SARA JOHANSEN NP
Nurse Practitioner (Family)
4545 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 981-6100
DR. RACHEL GREATWOOD D.O.
Family Medicine
4545 E SOUTHERN AVE STE 103
MESA, AZ 85206
Maricopa County (480) 981-6100

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 Jr Medical Group, Plc's NPI number?

The NPI number for Jr Medical Group, Plc is 1376664540. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider is doing business as Cornerstone Family Medicine.

Where is Jr Medical Group, Plc located?

Jr Medical Group, Plc is located at 4545 E Southern Ave Ste 103, Mesa, AZ 85206. The listed phone number is (480) 981-6100.

What is Jr Medical Group, Plc's specialty?

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

Does Jr Medical Group, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0996967) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jr Medical Group, Plc accept?

Health plans from Imperial Insurance Companies, Inc. list Jr Medical Group, Plc 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 Jr Medical Group, Plc was last updated on May 21, 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.