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CORNERSTONE CARE CLINIC LLC
NPI 1669253639
Nurse Practitioner - Primary Care in Live Oak, FL

Active since October 06, 2023CLIA Certified · 2 labs
1520 OHIO AVE S STE A, LIVE OAK, FL 32064(386) 219-4060(386) 245-7100 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2026, Nov 23, 2024, Aug 10, 2024 and 1 more (4 updates tracked since 2023).

About Cornerstone Care Clinic Llc NPPES

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

CORNERSTONE CARE CLINIC LLC (NPI 1669253639) is a healthcare organization registered as a primary care in Live Oak, Florida and active in the NPI registry since October 2023. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Joseph Chamberlain, President, as its authorized official.

NPPES Registry Identity

NPI1669253639
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCORNERSTONE CARE CLINIC LLC
Location Address1520 OHIO AVE S STE ALive Oak, FL 32064-4514
Mailing Address1520 Ohio Ave S Ste ALive Oak, FL 32064-4514 · (386) 219-4060 · Fax (386) 245-7100
Phone(386) 219-4060
Fax(386) 245-7100
Organization SubpartNo
Authorized OfficialJoseph ChamberlainPresident · (386) 477-0007
Enumeration DateOctober 6, 2023
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1669253639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1520 OHIO AVE S STE A, Live Oak, FL 32064
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Secondary Practice Locations 2

Location 14785 W US Highway 90 Ste 101Lake City, FL 32055-5125 · Phone (386) 272-9475 · Fax (386) 245-7100
Location 21150 US Highway 41 NW Ste 11Jasper, FL 32052-5889 · Phone (386) 200-6679 · Fax (386) 245-7100

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 2

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 10D2295633

Cornerstone Care Clinic LLC · Live Oak, FL
Active · expires Dec 13, 2027
CLIA Number10D2295633
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorMichelle D. Morris
Laboratory Phone(386) 219-4060
Laboratory LocationCornerstone Care Clinic LLC1520 Ohio Ave South, Live Oak, FL 32064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2335364

Cornerstone Care Clinic LLC · Lake City, FL
Active · expires Dec 9, 2027
CLIA Number10D2335364
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorCameron Tolar
Laboratory Phone(386) 272-9475
Laboratory LocationCornerstone Care Clinic LLC4785 W Us Highway 90, Lake City, FL 32055
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 Care Clinic LLC's NPI number?

The NPI number for Cornerstone Care Clinic LLC is 1669253639. It was assigned to this organization in the NPPES registry on October 6, 2023.

Where is Cornerstone Care Clinic LLC located?

Cornerstone Care Clinic LLC is located at 1520 Ohio Ave S Ste A, Live Oak, FL 32064. The listed phone number is (386) 219-4060.

What is Cornerstone Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Cornerstone Care Clinic LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cornerstone Care Clinic LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.