Individual provider Active NPI

Courtney Wells Dunavant, P.A.

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1760563233
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
08618 Issued in TX
Practice address
405 N Lamar Blvd # 110
Austin, TX 78703-2103
Phone
(737) 255-8200
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 08618 TX Primary

Addresses

Primary practice location

405 N Lamar Blvd # 110
Austin, TX 78703-2103

Mailing address

2701 Hatley Dr
Austin, TX 78746-4608
Phone (917) 561-0828

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
08618TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Ear Nose & Throat Clinic LLP PastSince Jul 6, 2012 Accepting new patients
Institute of Reconstructive Plastic Surgery of Central Texas Past Accepting new patients
Pediatric Surgical Subspecialists Past Accepting new patients
Seton Family of Doctors Past Accepting new patients
New York Group for Plastic Surgery, LLP Past Accepting new patients
Seton Family of Doctors Past Accepting new patients
ENT and Allergy Associates of Texas PLLC PastSince Jan 1, 2026 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1760563233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HATLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464608",
            "telephone_number": "917-561-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N LAMAR BLVD # 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032103",
            "telephone_number": "737-255-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAVANT",
        "first_name": "COURTNEY",
        "middle_name": "WELLS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "08618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.