COURTNEY C LARSON (CRNA, FNP-C) – Certified Registered Nurse Anesthetist, NPI 1114266160
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA
Provider Addresses for COURTNEY C LARSON (CRNA, FNP-C)
PO BOX 1186
MABLETON, GA 301261003
Phone: (888) 408-0200
Type: Mailing
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone: (770) 532-7179
Fax: (770) 534-1312
Type: Location
4505 ATWOOD DR
CUMMING, GA 300403068
Phone: (770) 823-2937
Type: Mailing
4855 WINDWARD PKWY STE 200
MILTON, GA 300048609
Phone: (770) 840-5502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($56).
Total Amount
$79
General + Research + Ownership
Payments
2
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MERZ NORTH AMERICA, INC. | $56 |
| AstraZeneca Pharmaceuticals LP | $23 |
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: 2013-03-06
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130306000164 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | NC | |
| Anesthesiology Assistant | WI | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Anesthesiology Assistant | MO | |
| Certified Registered Nurse Anesthetist (Crna) | AP | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | WI | |
| Anesthesiology, Internal Medicine | GA |
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