DR. JOANNA CORNELIUS DMD
NPI 1962814012
Student in an Organized Health Care Education/Training Program in Lexington, SC

Active since May 23, 2014PECOS Enrolled
5551 SUNSET BLVD, LEXINGTON, SC 29072(803) 580-2009 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Joanna Cornelius Dmd NPPES

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

DR. JOANNA CORNELIUS DMD (NPI 1962814012) is an individual student in an organized health care education/training program in Lexington, South Carolina and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1962814012
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JOANNA CORNELIUSCredential: DMD
Location Address5551 SUNSET BLVDLexington, SC 29072-9132
Mailing Address5551 Sunset BlvdLexington, SC 29072-9132 · (803) 580-2009
Sole ProprietorNo
Enumeration DateMay 23, 2014
NPI 1962814012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

5551 SUNSET BLVD, Lexington, SC 29072

Medicare Participation & PECOS Enrollment Status

Joanna Cornelius is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. JOANNA CORNELIUS DMD

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
5551 SUNSET BLVD
LEXINGTON, SC 29072
Dentist (General Practice)
5551 SUNSET BLVD, SUITE B
LEXINGTON, SC 29072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962814012, enumerated as an "individual" on May 23, 2014.

The provider is located at 5551 SUNSET BLVD LEXINGTON, SC 29072 and the phone number is (803) 580-2009.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.