Active NPI
Courtney Boswell McQuaker, ATC
- Special Hospital
- Columbus, GA
National Provider Identifier
1093868291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- AT000905
- Practice address
- 100 Frist CT
Columbus, GA 31909-3578 - Phone
- (706) 494-2578
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | AT000905 | GA | Primary |
Addresses
Primary practice location
100 Frist CT
Columbus, GA 31909-3578
Mailing address
224 Lee Road 2105
Phenix City, AL 36870-4751
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000905 | GA | MD | Special Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093868291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 LEE ROAD 2105",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368704751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FRIST CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093578",
"telephone_number": "706-494-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUAKER",
"first_name": "COURTNEY",
"middle_name": "BOSWELL",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "GA",
"license": "AT000905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.