Active NPI
Courtney E Sinclair MD PC
- Gynecology Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- COURTNEY E SINCLAIR MD PC
- Practice address
- 310 Paper Trail Way
Suite 109
Canton, GA 30115-5203 - Phone
- (770) 720-4100
- Fax
- (770) 720-4141
- NPI assigned
- Oct 26, 2007
- Last updated
- Oct 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney E Sinclair, M.D.
- Title
- President
- Phone
- (770) 720-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | NU | Primary |
Addresses
Primary practice location
310 Paper Trail Way
Suite 109
Canton, GA 30115-5203
Mailing address
310 Paper Trail Way
Suite 109
Canton, GA 30115-5203
Phone (770) 720-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080506000025 | GA | Part B Supplier - Clinic/Group Practice | 4981783784 | Practice locations: Canton, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1077119 | Courtney E Sinclair MD | Provider-performed microscopy | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
310 Paper Trail Way
Ste 109
Canton, GA 30115
Phone (770) 720-4100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Canton, GA
- NPI 1184717035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1902085939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 PAPER TRAIL WAY",
"address_2": "SUITE 109",
"city": "CANTON",
"state": "GA",
"postal_code": "301155203",
"telephone_number": "770-720-4100",
"fax_number": "770-720-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 PAPER TRAIL WAY",
"address_2": "SUITE 109",
"city": "CANTON",
"state": "GA",
"postal_code": "301155203",
"telephone_number": "770-720-4100",
"fax_number": "770-720-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURTNEY E SINCLAIR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-720-4100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.