Courtney C Larson, CRNA, FNP-C

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN202447 Issued in GA

Practice address

4855 Windward Pkwy Ste 200
Milton, GA 30004-8609

Phone

(770) 840-5502

NPI assigned

Feb 12, 2013

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Medical College of Georgia School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Atlanta Anesthesia Consultants LLCGroup PAC ID 4486818093, 20 clinicians

Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mak Anesthesia Holdings LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1912452939
  Medicare reassignment Care Compare group NPD
• Atlanta Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Cumming, GA
  • NPI 1487928370
  Medicare reassignment Care Compare group
• Ahs Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Smyrna, GA
  • NPI 1316214604

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ahs Surgery Center Canton LLC

  • Ambulatory Surgical Clinic/Center
  • Canton, GA
  • NPI 1225457948
  Medicare reassignment NPD
• Atlanta Hand Specialist Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Smyrna, GA
  • NPI 1285912923
  Medicare reassignment NPD
• Carpus Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Marietta, GA
  • NPI 1568864452
  Medicare reassignment NPD
• Radius Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lawrenceville, GA
  • NPI 1215302906
  Medicare reassignment NPD
• Ulna Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Johns Creek, GA
  • NPI 1881147965
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1942563242
  Medicare reassignment
• Alpharetta Eye Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Alpharetta, GA
  • NPI 1164938825
  NPD (past)
• Buford Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Buford, GA
  • NPI 1609285386
  NPD (past)

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

• Wellstar North Fulton Hospital, Inc

  dba WellStar North Fulton Hospital

  • General Acute Care Hospital
  • Roswell, GA
  • NPI 1750312997
  Care Compare affiliation

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1114266160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 ATWOOD DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403068",
            "telephone_number": "770-823-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WINDWARD PKWY STE 200",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300048609",
            "telephone_number": "770-840-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "COURTNEY",
        "middle_name": "C",
        "credential": "CRNA, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN202447",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN202447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherise Kelly, CCC/SLP
• Oksana Kershteyn, MD
• Dzeneta Krndzija, NP-C
• Sophia Lillian Lamarca
• Teresa Parham Lane, PMHNP
• Lazzara Dermatology & Mohs Surgery of Milton, LLC
• Danielle Raffaella Lazzara, D.O.
• Minh-Thu Le
• Jung M. Lee, D.M.D.
• Taeyoung Lee, DMD

• Certified Registered Nurse Anesthetist in Milton, GA
• Providers in Milton, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.