Courtney Augusta Justice, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5054 Issued in SC

Practice address

1229 Nexton Pkwy # a
Summerville, SC 29486-2167

Phone

(843) 585-3577

NPI assigned

Jan 5, 2022

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 SC

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 1

Specialty

Physician Assistant

Education

Nova Southeastern College of Osteo Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston Wound Care Center LLCGroup PAC ID 8820347867, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Charleston Wound Care Center LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Mount Pleasant, SC
  • NPI 1093205171
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1700547411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 NEXTON PKWY # A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862167",
            "telephone_number": "843-585-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "COURTNEY",
        "middle_name": "AUGUSTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Beyond Roadblocks Counseling
• Joyful Jabber Pediatric Therapy, LLC
• Deidre D Joyner, LPC
• Dominic Andre Juarez, MD
• Jubilee Services LLC
• Emily Jean Kachelmeyer, APRN, CNS
• Madison Paige Kaelin, MD
• Kale Chiropractic Clinic, LLC
• Corey Braeden Kalinowski
• Tina Kaminski, MA, MSW, LISW-CP

• Medical Physician Assistant in Summerville, SC
• Providers in Summerville, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.