Active NPI
Courtney A Corboy, PA
- Physician Assistant
- Richmond, VA
National Provider Identifier
1871093948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-006039
- Practice address
- 1001 E Leigh St
Richmond, VA 23298-5004 - Phone
- (804) 628-4368
- Fax
- (804) 807-7951
- NPI assigned
- Feb 15, 2018
- Last updated
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-006039 | VA | Primary |
Addresses
Primary practice location
1001 E Leigh St
Richmond, VA 23298-5004
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-4368
Other practice location 2
9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 323-0830
Other practice location 3
401 N 11th St
Richmond, VA 23219-1901
Phone (804) 828-4368
Other names 1
- Courtney Nichole Amburgey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-006039 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vcu Oral-Facial Surgery and Services LLC | Past | Accepting new patients | |
| Virginia Commonwealth University Health System Authority | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Richmond, VA
- NPI 1215502125
-
dba VCU Health System Pharmacy
- Clinic Pharmacy
- Richmond, VA
- NPI 1659456077
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1871093948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E LEIGH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985004",
"telephone_number": "804-628-4368",
"fax_number": "804-807-7951"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-4368",
"fax_number": "804-828-8299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9109 Stony Point Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351979",
"country_code": "US",
"telephone_number": "804-323-0830",
"fax_number": "804-327-8076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 N 11th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191901",
"country_code": "US",
"telephone_number": "804-828-4368",
"fax_number": "804-828-8299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBOY",
"first_name": "COURTNEY",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-006039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "AMBURGEY",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.