NPIMap

Individual provider Active NPI

William Eanes Courson, D.O.

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1720427388
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
076800 Issued in GA
Practice address
110 Oak Hill Blvd
Newnan, GA 30265-2313
Phone
(770) 304-0987
NPI assigned
Jun 17, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 076800 GA Primary

Addresses

Primary practice location

110 Oak Hill Blvd
Newnan, GA 30265-2313

Mailing address

110 Oak Hill Blvd
Newnan, GA 30265-2313
Phone (770) 304-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015001417 GA Practitioner - Family Practice 7416251921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

110 Oak Hill Blvd
Suite 200
Newnan, GA 30265-2313
Phone (770) 304-0987

410 Connell Rd
Suite T
Valdosta, GA 31602-1899
Phone (229) 242-9565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
076800GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
South Georgia Medical Center Inc CurrentSince Apr 1, 2026 Accepting new patients
South Georgia Medical Center Inc CurrentSince Apr 1, 2026 Accepting new patients
SGMC Physician Network Inc Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Jul 16, 2018 Accepting new patients
Piedmont Providers LLC PastSince Jul 16, 2018 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

110 Oak Hill Blvd
Ste 200
Newnan, GA 30265
Phone (770) 304-0987

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

410 Connell Rd
Ste T
Valdosta, GA 31602
Phone (229) 242-9565

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

604 E Park Ave
Valdosta, GA 31602
Phone (229) 333-0277

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720427388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OAK HILL BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652313",
            "telephone_number": "770-304-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OAK HILL BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652313",
            "telephone_number": "770-304-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSON",
        "first_name": "WILLIAM",
        "middle_name": "EANES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "076800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.