JOHN COURSON
NPI 1073257606
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since April 20, 2022PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 255-9873 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Courson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN COURSON (NPI 1073257606) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073257606
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN COURSON
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1180 Arizona BndWatkinsville, GA 30677-7783 · (706) 255-9873
Sole ProprietorNo
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
NPI 1073257606 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.
1120 15TH ST, Augusta, GA 30912

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Courson 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 20

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

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912

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 John Courson's NPI number?

The NPI number for John Courson is 1073257606. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is John Courson located?

John Courson practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 255-9873.

What is John Courson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Courson enrolled in Medicare?

Yes. John Courson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Courson was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.