Active NPI
Margaux Usry Cousturian, PA-C
- Physician Assistant
- Knoxville, TN
National Provider Identifier
1881312635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1324 Dowell Springs Blvd
Knoxville, TN 37909 - Phone
- (865) 675-9355
- NPI assigned
- Aug 18, 2022
- Last updated
- Oct 30, 2024
- 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 | Primary |
Addresses
Primary practice location
1324 Dowell Springs Blvd
Knoxville, TN 37909
Mailing address
1324 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 675-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 26, 2024 through Oct 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5123 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1881312635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-675-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-675-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSTURIAN",
"first_name": "MARGAUX",
"middle_name": "USRY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- Scott A Courtley, D.C.
- Cecilia Courtney, LPC-MHSP
- Conner Andrew Courtney, DDS
- Cousin Physical Therapy, PLLC
- Kathryn Lea Cousins, NP
- Lauryn Alyssa Couture, LMSW
- Jeannine Couvertiere
- Meagan Diane Couvillion, M.A. CF-SLP
- Covenant Counseling & Consultation Services
- Covenant Health Diagnostic Centers, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.