NPIMap

Organization Active NPI

Michael a Courtney, M.D.

  • Surgery Physician
  • Tallassee, AL
National Provider Identifier
1699802108
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13184 Issued in AL
Legal business name
MICHAEL A COURTNEY, M.D.
Practice address
80 Herren Hill Rd Ste F
Tallassee, AL 36078-1264
Phone
(337) 283-3734
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mr. Lee Greer
Title
Cfo
Phone
(334) 283-3734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 13184 AL Primary

Addresses

Primary practice location

80 Herren Hill Rd Ste F
Tallassee, AL 36078-1264

Mailing address

80 Herren Hill Rd Ste F
Tallassee, AL 36078-1264
Phone (337) 283-3734

Other identifiers 1

IdentifierTypeStateIssuer
J249OtherMEDICARE GP PAYOR ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001819 AL Part B Supplier - Clinic/Group Practice 2062408487 Receives reassigned benefits from 82 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Notasulga, AL; Tuskegee, AL; Tallassee, AL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Franklin K Bufford MD13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 Herren Hill Rd
Ste F
Tallassee, AL 36078
Phone (334) 283-3896

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1699802108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HERREN HILL RD STE F",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781264",
            "telephone_number": "337-283-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HERREN HILL RD STE F",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781264",
            "telephone_number": "337-283-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A COURTNEY, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-283-3734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "13184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GP PAYOR ID",
            "identifier": "J249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.