Courtney Marie Popwell, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN197793 Issued in GA

Practice address

711 Charles Gilman Jr Ave Ste B
Kingsland, GA 31548-5664

Phone

(912) 510-9728

Fax

(912) 510-9752

NPI assigned

Jul 7, 2015

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 names 1

• Courtney Marie Herndon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: courtney.popwell@527234735276036.direct.elationemr.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.

• McKinney Community Health Ctr, Inc

  • Federally Qualified Health Center (FQHC)
  • Blackshear, GA
  • NPI 1568623346
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1700269958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 QUARTERMAN ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013547",
            "telephone_number": "912-287-0301",
            "fax_number": "912-287-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CHARLES GILMAN JR AVE STE B",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485664",
            "telephone_number": "912-510-9728",
            "fax_number": "912-510-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPWELL",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HERNDON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peds and Parents Family Care, LLC
• Diane Manning Pennington, D.M.D., M.D.
• Stephanie Ann Petersen, PTA
• Jessica Pickler, MOT, OTR/L
• Linda Edna Poloff, DMD
• Margaret Peek Powell, LPC
• Olivia Pressel
• Jenna Price, MOT
• Keywanna Nichole Price, NP-C
• Publix Super Markets Inc (Publix Pharmacy #0455)

• Family Nurse Practitioner in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.