Active NPI
Debora Lou Coursey-Prah, MD
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29432
- Practice address
- 1968 Peachtree Rd NW
Radiology Department
Atlanta, GA 30309-1281 - Phone
- (404) 605-5000
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29432 | GA | Primary |
Addresses
Primary practice location
1968 Peachtree Rd NW
Radiology Department
Atlanta, GA 30309-1281
Mailing address
2555 Ponce de Leon Blvd
4TH Floor
Coral Gables, FL 33134-6010
Phone (305) 702-5135
Other practice location 1
655 Jesse Jewell Pkwy SE Ste B
Gainesville, GA 30501-3854
Phone (770) 053-5939
Other practice location 2
1270 Friendship Rd
Braselton, GA 30517-5630
Phone (770) 535-9391
Other practice location 3
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 535-9391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000364361B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29432 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Atlanta, PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1528043718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1003891037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 PONCE DE LEON BLVD",
"address_2": "4TH FLOOR",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331346010",
"telephone_number": "305-702-5135",
"fax_number": "305-441-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD NW",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091281",
"telephone_number": "404-605-5000"
}
],
"practiceLocations": [
{
"address_1": "655 Jesse Jewell Pkwy SE Ste B",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013854",
"country_code": "US",
"telephone_number": "770-053-5939",
"fax_number": "770-533-4701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Friendship Rd",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175630",
"country_code": "US",
"telephone_number": "770-535-9391",
"fax_number": "770-533-4701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Jesse Jewell Pkwy SE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013834",
"country_code": "US",
"telephone_number": "770-535-9391",
"fax_number": "770-533-4701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COURSEY-PRAH",
"first_name": "DEBORA",
"middle_name": "LOU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "29432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000364361B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.