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

Last updated

Jul 8, 2007By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DZH, Inc

  dba Therapy Services of Georgia

  • 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.