Courtney Atkins Villasuso, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3571 Issued in SC

Practice address

11 Falcon Crest LN
Clyde, NC 28721-6620

Phone

(828) 565-0560

NPI assigned

Aug 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Courtney Paige Atkins Former name

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Laurel Dermatology PLLCGroup PAC ID 4486873098, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

Merit-based Incentive Payment System (MIPS)

Final score

52.78 of 100Reported as group

Quality

55.48

Improvement activities

0

Cost

74.21

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cv@mtnlaurelderm.emadirect.md

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.

• Mountain Laurel Dermatology, PLLC

  • Dermatology Physician
  • Asheville, NC
  • NPI 1013329929
  Medicare reassignment Care Compare group
• Georgetown Physician Associates, LLC

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1235475930
  Medicare reassignment
• Hopehealth Inc

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1821002411
  Medicare reassignment
• Mountain Laurel Dermatology, PLLC

  • Dermatology Physician
  • Clyde, NC
  • NPI 1700298635
  NPD
• Georgetown Physician Associates LLC

  • Family Medicine Physician
  • Georgetown, SC
  • NPI 1881410587
  NPD
• Georgetown Physician Associates, LLC

  • Infectious Disease Physician
  • Georgetown, SC
  • NPI 1174286777
  NPD
• Hopehealth Inc

  • Federally Qualified Health Center (FQHC)
  • Lake City, SC
  • NPI 1649069618
  NPD
• Hopehealth, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1841580412
  NPD

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

• DLP Haywood Regional Medical Center LLC.

  • General Acute Care Hospital
  • Clyde, NC
  • NPI 1811158215
  Care Compare affiliation

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1861047466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1921",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287211921",
            "telephone_number": "828-818-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FALCON CREST LN",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287216620",
            "telephone_number": "828-565-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Farrar Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268747",
            "country_code": "US",
            "telephone_number": "843-234-8700",
            "fax_number": "843-234-8689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 62nd Ave N",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295727202",
            "country_code": "US",
            "telephone_number": "843-234-8700",
            "fax_number": "843-234-8689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Alliance Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288065001",
            "country_code": "US",
            "telephone_number": "828-565-0562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLASUSO",
        "first_name": "COURTNEY",
        "middle_name": "ATKINS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15185",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4228PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ATKINS",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey Howard Truesdale, PHARMD
• Jenny Leigh Van Winkle, M.D.
• Joseph David Varner, DO
• Tyler Bagley Vereen, M.D.
• Leonard Paul Verges, M.D.
• Julia Dianne Visosky-Connor, PHYSICAL THERAPIST
• Stephen Jay Wall, M.D.
• Morrill Harrington Weaver, M.D.
• Sarah Webb-Wood, M.D.
• Avery Taylor Weekman, PHARMD

• Medical Physician Assistant in Clyde, NC
• Providers in Clyde, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.