Active NPI
John W Coursey, MD
- Urology Physician
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25143
- Practice address
- 1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410 - Phone
- (931) 840-8547
- Fax
- (931) 490-4726
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 059056 | GA | |
| Urology Physician | 208800000X | 30558 | SC | |
| Urology Physician | 208800000X | 25143 | TN | Primary |
Addresses
Primary practice location
1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Mailing address
1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Phone (931) 840-8547
Other practice location 1
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 844-1121
Other practice location 2
230 E DeRenne Ave
Savannah, GA 31405-6736
Phone (912) 790-4000 ext. 4068
Other practice location 3
2204 Pavilion Dr Ste 300
Kingsport, TN 37660-4653
Phone (423) 246-4155
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q025308 | Medicaid | TN | |
| 003100762J | Medicaid | GA | |
| 3723229 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Vanderbilt University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
3W
Bristol, TN 37620-7430
Phone (423) 844-5583
101 Berrywood Dr
Columbia, TN 38401-6409
Phone (931) 381-2110
1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 381-2110
1222 Trotwood Ave
Suite 601
Columbia, TN 38401-6410
Phone (931) 548-0053
1224 N Trotwood Ave
Columbia, TN 38401-4802
1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111
854 W James Campbell
Suite 303
Columbia, TN 38401-4672
854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779
Hospital & facility affiliations
- Maury Regional Hospital
- Marshall Medical Center
- Wayne Medical Center
- Southern Tennessee Regional Health System Pulaski
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059056 | GA | MD | Urology Physician |
| 30558 | SC | MD | Urology Physician |
| 25143 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Urological Associates, P.a. | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| West Tennessee Medical Group Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Family Health Group Inc | Past | Accepting new patients |
Locations
1 Medical Park Blvd
#3W
Bristol, TN 37620
Phone (423) 844-4240
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1222 Trotwood Ave
Ste 601
Columbia, TN 38401
Phone (931) 381-2062
101 Berrywood Dr
Columbia, TN 38401
Phone (931) 381-2110
1222 Trotwood Ave
Ste 603
Columbia, TN 38401
Phone (931) 381-9338
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
700 W Forest Ave
Fl 4
Jackson, TN 38301
Phone (731) 234-8736
700 W Forest Ave
Ste 4
Jackson, TN 38301
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900
1002 Cornerstone Dr
Paris, TN 38242
Phone (731) 642-8884
Interoperability endpoints
- johncoursey@columbiauro.medalliesdirect.net
Organizations & group practices 7
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.
-
- Specialist
- Columbia, TN
- NPI 1881809614
-
- Family Medicine Physician
- Columbia, TN
- NPI 1205886264
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
- Rural Health Clinic/Center
- Spring Hill, TN
- NPI 1548889850
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1487604799
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Pulaski, TN
- NPI 1841388519
-
- General Acute Care Hospital
- Waynesboro, TN
- NPI 1811927544
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Critical Access Hospital
- Lewisburg, TN
- NPI 1578591756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1114998507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE STE 601",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016410",
"telephone_number": "931-840-8547",
"fax_number": "931-490-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 TROTWOOD AVE STE 601",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016410",
"telephone_number": "931-840-8547",
"fax_number": "931-490-4726"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "37620",
"country_code": "US",
"telephone_number": "423-844-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 E DeRenne Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056736",
"country_code": "US",
"telephone_number": "912-790-4000 x4068",
"fax_number": "912-790-4407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2204 Pavilion Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604653",
"country_code": "US",
"telephone_number": "423-246-4155",
"fax_number": "423-246-7169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COURSEY",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "059056",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": "30558",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "25143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q025308",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003100762J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3723229",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.
- 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.