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CORNERSTONE MEDICAL GROUP OF WEST VIRGINIA LLC
NPI 1811877442
Family Medicine in Green Bank, WV

Active since September 04, 2025CLIA 51D2339273 · Waiver
4914 POTOMAC HIGHLANDS TRL, GREEN BANK, WV 24944(681) 535-2277(740) 619-7029 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cornerstone Medical Group Of West Virginia Llc NPPES

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

CORNERSTONE MEDICAL GROUP OF WEST VIRGINIA LLC (NPI 1811877442) is a healthcare organization registered as a family medicine in Green Bank, West Virginia and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Jeri Sue Thomas, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1811877442
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORNERSTONE MEDICAL GROUP OF WEST VIRGINIA LLC
Location Address4914 POTOMAC HIGHLANDS TRLGreen Bank, WV 24944-8507
Mailing Address27799 State Route 7Cheshire, OH 45620-9603
Phone(681) 535-2277
Fax(740) 619-7029
Organization SubpartNo
Authorized OfficialJeri Sue ThomasNurse Practitioner/owner · (740) 590-1181
Enumeration DateSeptember 4, 2025
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1811877442 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.
4914 POTOMAC HIGHLANDS TRL, Green Bank, WV 24944
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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

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 Of West Virginia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cornerstone Medical Group Of West Virginia LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeri Thomas, CNP
Nurse Practitioner
NPI 1881920387
4914 POTOMAC HIGHLANDS TRL
Green Bank, WV 24944
(681) 206-0668
✔ PECOSSame address

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 Waiver 51D2339273

Cornerstone Medical Group Of West Virginia, LLC · Green Bank, WV
Active · expires Feb 25, 2028
CLIA Number51D2339273
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorJeri S. Thomas
Laboratory Phone(681) 535-2277
Laboratory LocationCornerstone Medical Group Of West Virginia, LLC4914 Potomac Highlands Trail, Green Bank, WV 24944
CLIA data matches this NPI record on: 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 Medical Group Of West Virginia LLC's NPI number?

The NPI number for Cornerstone Medical Group Of West Virginia LLC is 1811877442. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Cornerstone Medical Group Of West Virginia LLC located?

Cornerstone Medical Group Of West Virginia LLC is located at 4914 Potomac Highlands Trl, Green Bank, WV 24944. The listed phone number is (681) 535-2277.

What is Cornerstone Medical Group Of West Virginia LLC's specialty?

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

Is Cornerstone Medical Group Of West Virginia LLC enrolled in Medicare?

Yes. Cornerstone Medical Group Of West Virginia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cornerstone Medical Group Of West Virginia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cornerstone Medical Group Of West Virginia LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cornerstone Medical Group Of West Virginia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2339273) is associated with this NPI, valid through February 25, 2028. 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 Of West Virginia LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.