MRS. COURTNEY BROOKE STEVENS (NPI# 1639423189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639423189 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY BROOKE STEVENS |
| Credential | PA-C |
| Practice Address |
1007 Greenfield Dr Tifton GA 31794-3795 |
| Practice Telephone | 2293829733 |
| Practice Fax Number | 2293876161 |
| Mailing Telephone | 2293829733 |
| Mailing Fax Number | 2293876161 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 006659 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477989176 | Courtney Stevens | Physician Assistant | 1700 Hospital South Dr Ste 502, Austell, GA 30106-8159 | 2013-09-25 |
| 1770198293 | Courtney Stevens | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-09-11 |
| 1164956181 | Courtney Stevens | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2017-04-17 |
| 1114205846 | Courtney Anne Stevens | Speech-Language Pathologist | 6306 N 7th St, Phoenix, AZ 85014 | 2011-07-29 |
| 1437375300 | Courtney L Stevens | Dentist | 3766 W 10th St, Suite A, Greeley, CO 80634-1823 | 2007-04-18 |
| Street Address |
1007 GREENFIELD DR |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792929 | Forte David Mceachin | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-01 |
| 1235588518 | Lindsey Shea Mccranie Seagraves | Nurse Practitioner | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2016-06-08 |
| 1912315094 | Tift Regional Health System Inc | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2014-08-01 |
| 1518257393 | Allison Marie Bell | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2011-04-13 |
| 1750686507 | Laura Sumner | Nurse Practitioner | 1007 Greenfield Dr, Tifton, GA 31794 | 2011-01-25 |
| 1033343066 | Tift Regional Health System Inc | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2009-05-05 |
| 1871619130 | William Leslie Hornback Iv | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2007-03-21 |
| 1154356889 | Bradley T Holt | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-07-11 |
| 1770544694 | South Georgia Surgical Clinic PC | Surgery | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-30 |
| 1063481224 | Judy E Weaver | Nurse Practitioner | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164510244 | Deanna Setters Sanders | Physician Assistant | 1824 Lee Ave, Tifton, GA 31794-3639 | 2006-10-11 |
| 1275562266 | Thomas S Kraemer | Physician Assistant | 2735 Central Ave S, Tifton, GA 31794-5645 | 2006-07-02 |
| 1124020425 | Robert Jay Muterspaugh | Physician Assistant | 802 18th St E, Tifton, GA 31794-3661 | 2005-06-01 |
| 1407481146 | Justin Hugh Roberts | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2020-03-03 |
| 1710257696 | Leigh Fountain Curtis | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2012-01-09 |
| 1518257393 | Allison Marie Bell | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2011-04-13 |
| 1942512561 | Kathryn Blevins | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2010-07-12 |
| 1437381266 | Russell During | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2009-08-12 |
| 1093976508 | Shaina Linell Mcgordon | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2008-06-18 |
| 1235307794 | Elizabeth L Norman | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2008-02-18 |
| Find all providers in TIFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.