Betty Lee Courson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000656 Issued in GA

Practice address

200 S Tallahassee St
Hazlehurst, GA 31539-6024

Phone

(912) 375-7009

Fax

(912) 375-7055

NPI assigned

Dec 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Betty Lee Clements Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DZH, Inc

  • Specialist
  • Hazlehurst, GA
  • NPI 1538244801
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962568030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 LAKE MAYERS RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315138537",
            "telephone_number": "912-367-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S TALLAHASSEE ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396024",
            "telephone_number": "912-375-7009",
            "fax_number": "912-375-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSON",
        "first_name": "BETTY",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA000656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "CLEMENTS",
            "middle_name": "LEE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William C. Chisholm, M.D.
• Skyler Clark, PHARMD
• Carla M Coleman, CCC-SLP
• Sherryl C. Copeland, APRN
• Candace Ross Corbitt, BCBA
• Preston Allen Crawford, NP-C
• Sharon Lakisha Cray, FNP-BC
• Tiffany Dawnyal Cray
• Bailey Elizabeth Creamer, PHARMD
• Cari Dixon Creamer, CCC-SLP

• Physical Therapy Assistant in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.