PREMIER CORNERSTONE MANAGEMENT, LLC
NPI 1992036396
Obstetrics & Gynecology in Reynolds, GA

Active since January 25, 2010
66 PARKER ST, REYNOLDS, GA 31076(478) 847-4690 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Obstetrics & Gynecology

About PREMIER CORNERSTONE MANAGEMENT, LLC

This page provides the complete NPI Profile along with additional information for Premier Cornerstone Management, Llc, a women's health care provider established in Reynolds, Georgia operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1992036396 assigned on January 2010. The practitioner's primary taxonomy code is 207V00000X with license number 0101244776 (VA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tawanna O'pal Gordon M.d. (Owner)

NPI
1992036396 Verify this NPI
Provider Name
PREMIER CORNERSTONE MANAGEMENT, LLC
Entity Type
Organization
Location Address
66 PARKER ST REYNOLDS, GA 31076
Location Phone
(478) 847-4690
Mailing Address
PO BOX 272 REYNOLDS, GA 31076
Mailing Phone
(478) 847-4690
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2010
Last Update Date
07-29-2010
Code Navigator

Women's health care providers like Premier Cornerstone Management, Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101244776
License State
VA
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

055753 (GA)
2207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

MD424859 (PA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TAWANNA O'PAL GORDON M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(229) 894-7734

Reviews for PREMIER CORNERSTONE MANAGEMENT, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992036396, enumerated as an "organization" on January 25, 2010.

The provider is located at 66 PARKER ST REYNOLDS, GA 31076 and the phone number is (478) 847-4690.

Obstetrics & Gynecology with taxonomy code 207V00000X.