Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOHN CORNELIUS MD
NPI 1861220972
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since July 22, 2024PECOS Enrolled
2 MEDICAL PARK RD STE 402, COLUMBIA, SC 29203(803) 434-4153 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Cornelius Md NPPES

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

DR. JOHN CORNELIUS MD (NPI 1861220972) is an individual student in an organized health care education/training program in Columbia, South Carolina, licensed in South Carolina (LL96896) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861220972
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN CORNELIUSCredential: MD
Location Address2 MEDICAL PARK RD STE 402Columbia, SC 29203-6839
Mailing Address2 Medical Park Rd Ste 402Columbia, SC 29203-6839
Sole ProprietorYes
Enumeration DateJuly 22, 2024
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1861220972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in SC · LL96896
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.

2 MEDICAL PARK RD STE 402, Columbia, SC 29203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John 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.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
2 MEDICAL PARK RD STE 402
COLUMBIA, SC 29203
Internal Medicine
2 MEDICAL PARK RD STE 402
COLUMBIA, SC 29203
Student in an Organized Health Care Education/Training Program
2 MEDICAL PARK RD STE 402
COLUMBIA, SC 29203
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2 MEDICAL PARK RD STE 402
COLUMBIA, SC 29203

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 John Cornelius's NPI number?

The NPI number for John Cornelius is 1861220972. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is John Cornelius located?

John Cornelius practices at 2 Medical Park Rd Ste 402, Columbia, SC 29203. The listed phone number is (803) 434-4153.

What is John 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 John Cornelius enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Cornelius was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.