Active NPI
Alexis Courson, NP
- Family Nurse Practitioner
- Douglas, GA
National Provider Identifier
1750920336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN257825
- Practice address
- 200 Doctors Dr Ste L
Douglas, GA 31533-2202 - Phone
- (912) 383-6360
- NPI assigned
- Dec 31, 2019
- Last updated
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN257825 | GA | Primary |
Addresses
Primary practice location
200 Doctors Dr Ste L
Douglas, GA 31533-2202
Mailing address
PO Box 1377
Douglas, GA 31534-1377
Phone (912) 384-1477
Other practice location 1
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1750920336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1377",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315341377",
"telephone_number": "912-384-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DOCTORS DR STE L",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332202",
"telephone_number": "912-383-6360"
}
],
"practiceLocations": [
{
"address_1": "1101 Ocilla Rd",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "GA",
"postal_code": "315332207",
"country_code": "US",
"telephone_number": "912-384-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COURSON",
"first_name": "ALEXIS",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN257825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.