Audrey S Courtney, LICENSED PSYCHOLOGIS

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2930 Heritage PL NE
Milledgeville, GA 31061-7204

Phone

(478) 363-7927

NPI assigned

Oct 8, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blue Valley Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Beatrice, NE
  • NPI 1316019508
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1316198476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MARSHALL RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619322",
            "telephone_number": "478-363-7927",
            "fax_number": "478-454-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HERITAGE PL NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617204",
            "telephone_number": "478-363-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "AUDREY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PSYCHOLOGIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY001784",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Correcthealth GDC, LLC
• Correctlife Bostick, LLC
• William G Costello, M.D.
• Christine County, MS, RDN, LD
• Coupe de Maitre Wellbeing LLC
• Michael John Covey, DC
• Tonya Crager, FNP-C
• Beverly Ann Criss
• Crystal Wray Crockett, RN, BSN
• Carter Cross, CPO

• Psychologist in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.