Dr James Roy Cornwell, MD is a
Family Medicine physician based in Lyons, Georgia. Dr James Roy Cornwell is licensed to practice in Georgia (license number 050608) and his current practice location is 110 R T Stanley Sr Place, Lyons, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 526-9355.
NPI number for Dr James Roy Cornwell is 1548250830 and his current mailing address is Po Box 407, Vidalia, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548250830.
Physician's Profile
| Full Name | Dr James Roy Cornwell |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 110 R T Stanley Sr Place, Lyons, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548250830
- Provider Enumeration Date: 10/27/2005
- Last Update Date: 10/17/2019
Medical Identifiers
Medical identifiers for Dr James Roy Cornwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548250830 | NPI | - | NPPES |
| 1548250830 | Medicaid | NC | |
| P01701620 | Other | SC | RAILROAD MEDICARE |
| G50608 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2016-01953 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 39184 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 050608 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Roy Cornwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James Roy Cornwell, MD
Po Box 407,
Vidalia, GA 30475-0407
Ph: (912) 526-9355 | Dr James Roy Cornwell, MD
110 R T Stanley Sr Place,
Lyons, GA 30436-5623
Ph: (912) 526-9355 |
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