OrganizationActive
Cornerstone Medical Management LLC
NPI 1114410974 · Pediatrics Physician · Perry, GA
Provider details
- NPI number
- 1114410974
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Sanders, Ceo(478) 751-2580
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1024 Keith Dr
Perry, GA 31069-2947
Phone: (478) 987-3445
Fax: (478) 987-3102
Street-level locationGet directions
Mailing address
300 Margie Dr
Warner Robins, GA 31088-7817
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2018-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.