CLARENCE DAVID COURSON PA NPI 1164568135

NPI Information

  • NPI: 1164568135
  • Provider Name: CLARENCE DAVID COURSON, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6262 VETERANS PKWY
    COLUMBUS, GA
    ZIP 31909
  • Phone: (706) 324-6661

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NPI Details

Clarence David Courson, PA is a surgical physician assistant in Columbus, GA with 28 years of experience. Clarence David Courson, PA NPI is 1164568135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6262 VETERANS PKWY
COLUMBUS, GA
ZIP 31909-540
Phone: (706) 324-6661

The NPI 1164568135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 1/29/2007 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant003198GEORGIANo
2363AS0400XPhysician AssistantSurgicalPA.657ALABAMANo
3363AS0400XPhysician AssistantSurgical3198GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1849945840AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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