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: August 09, 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.

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 CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Joanna Cornelius Dmd 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 2

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

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

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 Joanna Cornelius's NPI number?

The NPI number for Joanna Cornelius is 1962814012. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Joanna Cornelius located?

Joanna Cornelius practices at 5551 Sunset Blvd, Lexington, SC 29072. The listed phone number is (803) 580-2009.

What is Joanna 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 Joanna Cornelius enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joanna Cornelius was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.