Clarence David Courson, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3198 Issued in GA

Practice address

6262 Veterans Pkwy
Columbus, GA 31909-3540

Phone

(706) 324-6661

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.courson.pa.1@321.direct.athenahealth.com

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.

• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190

  AL, GA

  Medicare reassignment Care Compare group
• St. Francis Physician Practices LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417

  GA

  Medicare reassignment
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Dublin, GA
  • NPI 1104316652
  Care Compare group
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Leesburg, GA
  • NPI 1699951897
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Valdosta, GA
  • NPI 1003098336
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1346423241
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Lagrange, GA
  • NPI 1356523682
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Vidalia, GA
  • NPI 1508448127
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Thomaston, GA
  • NPI 1942442165
  Care Compare group
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Eastman, GA
  • NPI 1285351346
  Care Compare group
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1902682347
  Care Compare group
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1588806707
  Care Compare group

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

• Russell County Community Hospital LLC

  • General Acute Care Hospital
  • Phenix City, AL
  • NPI 1023050101

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1164568135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-324-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-324-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4519 Woodruff Rd Ste 4 PMB 318",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046096",
            "country_code": "US",
            "telephone_number": "706-653-2255",
            "fax_number": "706-653-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Manchester Expy Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046802",
            "country_code": "US",
            "telephone_number": "706-322-6646",
            "fax_number": "706-322-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Manchester Expy Ste A005",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046805",
            "country_code": "US",
            "telephone_number": "706-322-6646",
            "fax_number": "706-322-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 N Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032991",
            "country_code": "US",
            "telephone_number": "334-699-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURSON",
        "first_name": "CLARENCE",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003198",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.657",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "849945840A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Columbus, GA
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• 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.