Courtney Marie Casey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TL2715 Issued in SC

Practice address

502 Sixth Baxter Xing
Fort Mill, SC 29708-6596

Phone

(803) 396-8100

Fax

(803) 396-8040

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Courtney Marie Carroll Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: courtney.casey.1@14940.direct.athenahealth.com

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.

• Piedmont Physician Network LLC

  • Internal Medicine Physician
  • York, SC
  • NPI 1194277186
  Medicare reassignment
• Piedmont Express Care at Sutton Road, LLC

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1114353935
  NPD (past)
• Piedmont Family Practice at Baxter Village, LLC

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1548695232
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1508285685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741327",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841327",
            "telephone_number": "803-396-8100",
            "fax_number": "803-396-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SIXTH BAXTER XING",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086596",
            "telephone_number": "803-396-8100",
            "fax_number": "803-396-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01690",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2432",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL2715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CARROLL",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet R Caron, PT
• Courtney Carrick
• Jessica Carrillo
• Cici Carter, M.D.
• Lindsey Elizabeth Carver, PT
• Ben HB Castelsky, DMD
• Sara Castillo-Thompson, PH.D.
• Catawba River Dentistry, LLC
• CC Elderly Care Connection
• Center for Personal Growth

• Physician Assistant in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.