Courtney Lauren Price, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2954 Issued in OK

Practice address

13921 N Meridian Ave Ste 100
Oklahoma City, OK 73134-1106

Phone

(405) 752-9600

Fax

(405) 752-9650

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Lauren Davis Former name

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Miller MD PLLCGroup PAC ID 0244525863, 7 clinicians

Kelly Medical, PCGroup PAC ID 3173535515, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

34.44 of 100Reported as individual

Quality

20

Improvement activities

0

Cost

66.26

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGDIBD

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.

• Jeffrey Miller, MD PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Moore, OK
  • NPI 1215328547
  Medicare reassignment Care Compare group NPD
• Kelly Medical, PC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1467495226
  Medicare reassignment Care Compare group
• Oklahoma Outpatient Pain and Spine Center LLC

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
  • NPI 1881272656
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1194374116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268938",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268938",
            "telephone_number": "405-752-9600",
            "fax_number": "405-752-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 N MERIDIAN AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341106",
            "telephone_number": "405-752-9600",
            "fax_number": "405-752-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "COURTNEY",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DAVIS",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristie Price-Sissons, LPN
• Alicia Monique Price, M.S., LPC-S
• Amber Nicole Price
• Austin Price
• Caitlin Price, DO
• Dana B Price, D.D.S.
• Hollis Anne Price, PT
• Jamie Price
• Jason David Price, APRN, NP-C
• Katelyn Jill Price

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.