Individual provider Active NPI

Courtney Doucette Arvin

  • Anesthesiologist Assistant
  • Atlanta, GA
National Provider Identifier
1508066788
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
1364 Clifton Rd NE
Atlanta, GA 30322-1064
Phone
(404) 778-5409
Fax
(404) 778-5194
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 5136 GA
Anesthesiologist Assistant 367H00000X Primary

Addresses

Primary practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1064

Mailing address

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000011 GA Practitioner - Anesthesiology Assistant 7810079993 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5136GAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Sep 24, 2007 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Nov 1, 2022 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiologist Assistant CurrentSince Apr 26, 2019 Accepting new patients
New London Anesthesia & Pain Consultants PC Anesthesiologist Assistant CurrentSince May 1, 2014 Accepting new patients
Gi Anesthesia of Georgia LLC CurrentSince Nov 1, 2022 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Feb 12, 2025 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

1600 Medical Way
Snellville, GA 30078
Phone (770) 979-9903

Interoperability endpoints

  • Direct secure messaging: carvin19784@direct.emory.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Emory University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Premier Anesthesia of Georgia LLC 62 clinicians
Emory Specialty Associates, LLC 706 clinicians
The Emory Clinic Inc 3,507 clinicians

Practice addresses (Care Compare)

11 Upper Riverdale Rd
Riverdale, GA 30274-2600
Phone (404) 941-1291

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1508066788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221064",
            "telephone_number": "404-778-5409",
            "fax_number": "404-778-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVIN",
        "first_name": "COURTNEY",
        "middle_name": "DOUCETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "GA",
            "license": "5136",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.