1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MAKAYLA CORNELIUS MD
NPI 1558064519
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since March 27, 2023PECOS Enrolled
1705 CHEROKEE RD APT 22, JOHNSON CITY, TN 37604(615) 772-8762 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Makayla Cornelius Md NPPES

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

MAKAYLA CORNELIUS MD (NPI 1558064519) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558064519
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAKAYLA CORNELIUSCredential: MD
Location Address1705 CHEROKEE RD APT 22Johnson City, TN 37604-7820
Mailing Address1705 Cherokee Rd Apt 22Johnson City, TN 37604-7820 · (615) 772-8762
Phone(615) 772-8762
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 26, 2023
✔ NPI 1558064519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1705 CHEROKEE RD APT 22, Johnson City, TN 37604
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makayla Cornelius Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Makayla Cornelius's NPI number?

The NPI number for Makayla Cornelius is 1558064519. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Makayla Cornelius located?

Makayla Cornelius practices at 1705 Cherokee Rd Apt 22, Johnson City, TN 37604. The listed phone number is (615) 772-8762.

What is Makayla Cornelius's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Makayla Cornelius enrolled in Medicare?

Yes. Makayla Cornelius is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Makayla Cornelius was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.