Individual provider Active NPI

Courtney Lyn Garvin, PA-C

  • Physician Assistant
  • Pickerington, OH
National Provider Identifier
1013347608
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003936 Issued in OH
Practice address
1025 Refugee Rd Ste 100-a
Pickerington, OH 43147-9861
Phone
(614) 754-5500
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003936 OH Primary

Addresses

Primary practice location

1025 Refugee Rd Ste 100-a
Pickerington, OH 43147-9861

Mailing address

1025 Refugee Rd Ste 100-a
Pickerington, OH 43147-9861
Phone (614) 754-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ohio.gastro@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212001587 OH Practitioner - Physician Assistant 7416186572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Gastroenterology Group, Inc.Group PAC ID 0143211284, 118 clinicians
Medical and Surgical Associates IncGroup PAC ID 5890760938, 9 clinicians

Practice addresses (Care Compare)

1025 Refugee Rd
Pickerington, OH 43147-9861
Phone (614) 754-5500

1930 Tamarack Rd
Newark, OH 43055-2303
Phone (740) 522-7600

3400 Olentangy River Rd
Columbus, OH 43202-1523

85 McNaughten Rd
Suite 320
Columbus, OH 43213-5111
Phone 61475455005545

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

Merit-based Incentive Payment System (MIPS)

Final score
78.34 of 100Reported as group
Quality
59.66
Promoting interoperability
99
Improvement activities
40
Cost
68.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Gastroenterology Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

L3977
Columbus, OH 43260

3400 Olentangy River Rd
Columbus, OH 43202
Phone (614) 754-5545

85 McNaughten Rd
Ste 320
Columbus, OH 43213
Phone 61475455005545

722 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 754-5455

3000 Meadow Pond Ct
Ste 500
Grove City, OH 43123
Phone (614) 505-7511

1025 Refugee Rd
Ste 100A
Pickerington, OH 43147

430 Altair Pkwy
Ste 110
Westerville, OH 43082

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1013347608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 REFUGEE RD STE 100-A",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479861",
            "telephone_number": "614-754-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 REFUGEE RD STE 100-A",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479861",
            "telephone_number": "614-754-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "COURTNEY",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohio.gastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1025 Refugee Rd Ste 100-A",
            "city": "Pickerington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431479861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.