Individual provider Active NPI

John W Coursey, MD

  • Urology Physician
  • Columbia, TN
National Provider Identifier
1114998507
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25143 Issued in TN
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

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q025308MedicaidTN
003100762JMedicaidGA
3723229MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000747 TN Practitioner - Urology 0446289466 Reassigns benefits to 4 organizations

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
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Columbia Urological Associates, P.a.Group PAC ID 1254463334, 4 clinicians
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059056GAMDUrology Physician
30558SCMDUrology Physician
25143TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Urological Associates, P.a. CurrentSince Oct 1, 2016 Accepting new patients
Maury Regional Medical Group, Inc CurrentSince Dec 1, 2020 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Aug 8, 2023 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Dec 1, 2020 Accepting new patients
West Tennessee Medical Group Inc CurrentSince Dec 22, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 8, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.