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COURTNEY DAVIS-PERSAUD
NPI 1417704131
Counselor - Professional in Winder, GA

Active since May 01, 2024PECOS Enrolled
307 ANCHORS WAY, WINDER, GA 30680(706) 633-3467 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Courtney Davis-persaud NPPES

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

COURTNEY DAVIS-PERSAUD (NPI 1417704131) is an individual professional provider in Winder, Georgia, licensed in Georgia (LPC013190) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417704131
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY DAVIS-PERSAUD
Location Address307 ANCHORS WAYWinder, GA 30680-6301
Mailing Address307 Anchors WayWinder, GA 30680-6301 · (706) 633-3467
Phone(706) 633-3467
Sole ProprietorYes
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1417704131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC013190
307 ANCHORS WAY, Winder, GA 30680
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Davis-persaud 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.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Davis-persaud reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
604 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Courtney Davis-persaud's NPI number?

The NPI number for Courtney Davis-persaud is 1417704131. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Courtney Davis-persaud located?

Courtney Davis-persaud practices at 307 Anchors Way, Winder, GA 30680. The listed phone number is (706) 633-3467.

What is Courtney Davis-persaud's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Courtney Davis-persaud enrolled in Medicare?

Yes. Courtney Davis-persaud is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Courtney Davis-persaud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Davis-persaud reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Davis-persaud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Davis-persaud accept?

Health plans from Alliant Health Plans, Inc., CareSource and UnitedHealthcare list Courtney Davis-persaud as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Davis-persaud was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.