MRS. COURTNAY STAAB PA-C - NPI 1205218708 - Physician Assistant in Canton, GA

Q: What is Courtnay Staab's NPI number?

The NPI number for Courtnay Staab is 1205218708. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Q: What is Courtnay Staab's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtnay Staab was last updated on December 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Courtnay Staab Pa-c NPPES

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

MRS. COURTNAY STAAB PA-C (NPI 1205218708) is an individual physician assistant in Canton, Georgia, licensed in Georgia (7647) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2015).

NPPES Registry Identity

NPI1205218708

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. COURTNAY STAABCredential: PA-C

Location Address227 RIVERSTONE DRCanton, GA 30114-5256

Mailing Address227 Riverstone DrCanton, GA 30114-5256 · (770) 720-7733 · Fax (770) 720-7557

Phone(770) 720-7733

Fax(770) 720-7557

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2015

Enumeration DateJune 22, 2015

Last NPPES UpdateDecember 28, 20252 updates tracked since enumeration

NPPES CertifiedDecember 28, 2025

✔ NPI 1205218708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 7647

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

227 RIVERSTONE DR, Canton, GA 30114

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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 (PECOS)

Mrs. Courtnay Staab Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476037524

PECOS Enrollment IDI20260317004121

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

ANNA OLIVIA WOMICK BERMUDEZ CNM

Advanced Practice Midwife