CORNERSTONE HEALTH CARE NPI 1235474701

NPI Information

  • NPI: 1235474701
  • Provider Name: CORNERSTONE HEALTH CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WARREN STACKS MD A CORNERSTONE PRACTICE
  • Address: 1400 WESTGATE CENTER DR
    SUITE 140
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 802-2536

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NPI Details

CORNERSTONE HEALTH CARE is a family medicine in Winston Salem, NC. The provider is 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. CORNERSTONE HEALTH CARE NPI is 1235474701. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Warren Stacks Md A Cornerstone Practice.

The provider's business location address is:

1400 WESTGATE CENTER DR
SUITE 140
WINSTON SALEM, NC
ZIP 27103-112
Phone: (336) 802-2536
Fax: (336) 802-2534

The provider's authorized official is Grace E Terrell .
The authorized official title is President/ceo and has the following contact phone number (336) 802-2536.

The enumeration date for this NPI number is 12/10/2012 and was last updated on 5/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11740203090MEDICAIDNORTH CAROLINA
22318873MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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