NPIMap

Individual provider Active NPI

Megan Audra Courtney, PA-C, ATC

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1265486732
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1655 Issued in KY
Practice address
13151 Magisterial Dr Ste 200
Louisville, KY 40223-4103
Phone
(502) 587-1236
NPI assigned
May 20, 2006
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1655 KY Primary
Medical Physician Assistant 363AM0700X 10001823A IN
Medical Physician Assistant 363AM0700X PA1655 KY
Surgical Physician Assistant 363AS0400X PA1655 KY
Surgical Physician Assistant 363AS0400X 10001823A IN

Addresses

Primary practice location

13151 Magisterial Dr Ste 200
Louisville, KY 40223-4103

Mailing address

13151 Magisterial Dr Ste 200
Louisville, KY 40223-4103
Phone (502) 587-1236

Other practice location 1

4130 Dutchmans Ln
Suite 300
Louisville, KY 40207-4710
Phone (502) 895-8970

Other practice location 2

6420 Dutchmans Pkwy Ste 205
Louisville, KY 40205-3372
Phone (502) 242-6370

Other identifiers 4

IdentifierTypeStateIssuer
7100193870MedicaidKY
P01122799OtherKYRR MEDICARE
000000728596OtherKYANTHEM BC/BS
300008425MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110916000384 KY Practitioner - Physician Assistant 9032380324 Reassigns benefits to 1 organization
I20150722005986 IN Practitioner - Physician Assistant 9032380324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13151 Magisterial Dr
Louisville, KY 40223-4103

3605 Northgate CT
New Albany, IN 47150-6422
Phone (812) 321-6321

5120 Dixie Hwy
Louisville, KY 40216-1775

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1655KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis & Badenhausen Orthopaedics, PSC Physician Assistant CurrentSince Dec 20, 2023 Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC Physician Assistant CurrentSince Dec 20, 2023 Accepting new patients
Kentucky Anesthesia Consultants, PLLC CurrentSince May 1, 2021 Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Dec 20, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ellis & Badenhausen Orthopaedics,PSC Physician Assistant Past Accepting new patients

Locations

200 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 920-0055

200 Missouri Ave
Ste A
Jeffersonvlle, IN 47130
Phone (502) 242-6370

3605 Northgate Ct
Ste 214
New Albany, IN 47150
Phone (502) 495-3665

13151 Magisterial Dr
#200
Louisville, KY 40223

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

5120 Dixie Hwy
Ste 103
Louisville, KY 40216
Phone (502) 449-0449

6420 Dutchmans Pkwy
Ste 205
Louisville, KY 40205
Phone (502) 242-6370

Interoperability endpoints

  • Direct secure messaging: megan.courtney@eandbortho.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1265486732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 MAGISTERIAL DR STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234103",
            "telephone_number": "502-587-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 MAGISTERIAL DR STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234103",
            "telephone_number": "502-587-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Dutchmans Ln",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074710",
            "country_code": "US",
            "telephone_number": "502-895-8970",
            "fax_number": "502-895-8971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6420 Dutchmans Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053372",
            "country_code": "US",
            "telephone_number": "502-242-6370",
            "fax_number": "502-242-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "MEGAN",
        "middle_name": "AUDRA",
        "name_prefix": "Miss",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1655",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10001823A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1655",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA1655",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001823A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100193870",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01122799",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000728596",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300008425",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.