COURTNEY LYNN OKERBLAD – Medical Physician Assistant, NPI 1053851105

COURTNEY LYNN OKERBLAD is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. The NPI Number for COURTNEY LYNN OKERBLAD is 1053851105

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY LYNN OKERBLAD
NPI
1053851105
Phone
(404) 367-3014
Address
2727 PACES FERRY RD SE STE 1-1100
Enumeration Date
7 March 2017
Last Update Date
7 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043515959
Graduation Year
2017 (9 years ago)
PAC ID
0749551760
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20170809000515
Address ID
GA303091608AT35XXXNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

4,463 PHYSICIAN ASSISTANT in GA

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Provider Addresses for COURTNEY LYNN OKERBLAD

  • 2727 PACES FERRY RD SE STE 1-1100

    ATLANTA, GA 303396151

    Phone: (404) 367-3014

    Type: Mailing

  • Peachtree Road, Brookwood, Atlanta, Fulton County, Georgia, 30363, United States

    ATLANTA, GA 303091281

    Phone: (404) 367-3014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $682.

Total Amount is formed as General ($682) + Research ($0) + Ownership ($0) = $682.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($170).

Total Amount

$682

General + Research + Ownership

Payments

25

Total payment records

General Amount

$682

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170809000515IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
14301Repair of wound by transferring skin, 30.1-60.0 sq cm1717$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830082825View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
General SurgeryGA
O B S T E T R I C S/ G Y N E C O L O G YGA
G A S T R O E N T E R O L O G YGA
Nurse PractitionerGA
-GA
G A S T R O E N T E R O L O G YGA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseGA
Physical Medicine And Rehabilitation, Interventional Pain ManagementGA

Reviews

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Frequently asked questions

What is the standard ID for COURTNEY LYNN OKERBLAD in the U.S.?
In the U.S., COURTNEY LYNN OKERBLAD is identified by NPI 1053851105.
Quick check: is COURTNEY LYNN OKERBLAD active?
Public NPPES data shows COURTNEY LYNN OKERBLAD with an active NPI status right now.
How should patients interpret COURTNEY LYNN OKERBLAD's specialty?
The extract shows Medical Physician Assistant for COURTNEY LYNN OKERBLAD. Clinical services aligned with this taxonomy classification.
Is COURTNEY LYNN OKERBLAD tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, COURTNEY LYNN OKERBLAD may be relevant to your search.
Can I export COURTNEY LYNN OKERBLAD's record?
You can download the official NPPES record; we summarize key fields for readability.

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