Active NPI
Courtney Swallows, PA
- Medical Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9114698
- Practice address
- 1222 S Orange Ave FL 4
Orlando, FL 32806-1215 - Phone
- (321) 841-6444
- Fax
- (407) 650-1307
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9114698 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9114698 | FL | Primary |
Addresses
Primary practice location
1222 S Orange Ave FL 4
Orlando, FL 32806-1215
Mailing address
1222 S Orange Ave FL 4
Orlando, FL 32806-1215
Phone (321) 841-6444
Other practice location 1
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 425-1700
Other practice location 2
3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Phone (386) 425-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114698 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Multi-Specialty | Current | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1222 S Orange Ave
Fl 4
Orlando, FL 32806
Phone (321) 841-7700
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- cswallows409724@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Multi-Specialty
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Multi-Specialty
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1023699758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 S ORANGE AVE FL 4",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061215",
"telephone_number": "321-841-6444",
"fax_number": "407-650-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 S ORANGE AVE FL 4",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061215",
"telephone_number": "321-841-6444",
"fax_number": "407-650-1307"
}
],
"practiceLocations": [
{
"address_1": "303 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142709",
"country_code": "US",
"telephone_number": "386-425-1700",
"fax_number": "386-425-1704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 E Halifax Crossing Blvd",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327252911",
"country_code": "US",
"telephone_number": "386-425-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWALLOWS",
"first_name": "COURTNEY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114698",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9114698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.