Courtney Erin Fairchild, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9166 Issued in GA

Practice address

1248 Augusta West Pkwy
Augusta, GA 30909-1854

Phone

(706) 863-0500

Fax

(706) 855-5062

NPI assigned

Feb 20, 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

Medicare fee-for-service enrollment

Enrolled in GA, CO2 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of Augusta, IncGroup PAC ID 2668447988, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.15 of 100Reported as group

Quality

92.3

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Dermatology Specialists of Augusta, Inc

  • Dermatology Physician
  • Evans, GA
  • NPI 1558339275
  Medicare reassignment Care Compare group
• Sage Dermatology LLC

  • Dermatology Physician
  • Loveland, CO
  • NPI 1255002101
  Medicare reassignment
• Dermatology and Skin Cancer Center of Augusta, P.C.

  • Dermatology Physician
  • Augusta, GA
  • NPI 1912991902
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1477019925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-863-0500",
            "fax_number": "706-855-5062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Town Park Ln",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093481",
            "country_code": "US",
            "telephone_number": "706-650-7546",
            "fax_number": "706-922-9168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "COURTNEY",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn M Facey, PTA
• Hossam Eldin Fadel, MD
• Shawn P Fagan, M.D.
• Susan Christine Fagan, PHARM.D.
• Paula M Faglier, NP-C
• Faircloth Bakeman Partnership (Aiken/Augusta Oral & Facial Surgery)
• David Neal Faircloth, DMD
• Mazen Shafiq Fakhouri, PA-C
• Falcon Medical Group (Victory Pain Management)
• Kristina Falkenstrom, M.D.

• Physician Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.