CLARENCE DAVID COURSON PA
NPI 1164568135
Physician Assistant - Surgical in Columbus, GA

Q: What is Clarence Courson's NPI number?

The NPI number for Clarence Courson is 1164568135. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Clarence Courson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Courson was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment

6262 VETERANS PKWY, COLUMBUS, GA 31909(706) 324-6661 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Jul 29, 2024 (2 updates tracked since 2024).

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About Clarence David Courson Pa NPPES

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

CLARENCE DAVID COURSON PA (NPI 1164568135) is an individual surgical provider in Columbus, Georgia, licensed in Georgia (3198) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164568135

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameCLARENCE DAVID COURSONCredential: PA

Location Address6262 VETERANS PKWYColumbus, GA 31909-3540

Mailing AddressPo Box 370Fortson, GA 31808-0370 · (706) 324-6661

Phone(706) 324-6661

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJanuary 29, 2007

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1164568135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in GA · 3198✔ Licensed in AL · PA.657

Also ListedPhysician AssistantTaxonomy 363A00000X · License 003198 (GA)

6262 VETERANS PKWY, Columbus, GA 31909

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Secondary Practice Locations 4

Location 14519 Woodruff Rd Ste 4 PMB 318Columbus, GA 31904-6096 · Phone (706) 653-2255 · Fax (706) 653-2329

Location 22300 Manchester Expy Ste 101AColumbus, GA 31904-6802 · Phone (706) 322-6646 · Fax (706) 322-2891

Location 32300 Manchester Expy Ste A005Columbus, GA 31904-6805 · Phone (706) 322-6646 · Fax (706) 322-2891

Location 4512 N Shady LnDothan, AL 36303-2991 · Phone (334) 699-5747

Other Identifiers 1

Medicaid849945840AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clarence David Courson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183774326

PECOS Enrollment IDI20090610000466, I20090701000099

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

103 services87 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

96 services88 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

32 services32 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

11 services11 patients

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.

JOLENE STEWART FONDRK PA-C

Physician Assistant (Surgical)