CLARENCE DAVID COURSON (PA) – Surgical Physician Assistant, NPI 1164568135
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for CLARENCE DAVID COURSON (PA)
4519 Woodruff Rd Ste 4 PMB 318
Columbus, GA 319046096
Phone: (706) 653-2255
Fax: (706) 653-2329
Type: Location
2300 Manchester Expy Ste 101A
Columbus, GA 319046802
Phone: (706) 322-6646
Fax: (706) 322-2891
Type: Location
4519 WOODRUFF RD STE 4 PMB 318
COLUMBUS, GA 319046096
Phone: (706) 653-2255
Fax: (706) 653-2329
Type: Location
4211, Bridgewater Drive, Lakewood Heights, Phenix City, Russell County, Alabama, 36867, United States
PHENIX CITY, AL 36867
Phone: (706) 653-2255
Fax: (706) 653-2255
Type: Mailing
2300 Manchester Expy Ste A005
Columbus, GA 319046805
Phone: (706) 322-6646
Fax: (706) 322-2891
Type: Location
512 N Shady Ln
Dothan, AL 363032991
Phone: (334) 699-5747
Type: Location
PO BOX 370
FORTSON, GA 318080370
Phone: (706) 324-6661
Type: Mailing
6262 VETERANS PKWY
COLUMBUS, GA 319093540
Phone: (706) 324-6661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Averitas Pharma Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $18 |
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: 2009-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090610000466 | I | Physician Assistant | AL | TBD |
| I20090701000099 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 198 | 167 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 27 | 26 | $0 |
Insurance plans in this area (ZIP 31904)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | AL | |
| Physician Assistant | AL | |
| Physical Therapist In Private Practice | GA | |
| Sports Medicine, Orthopedic Surgery, Orthopedic Surgery | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | SC | |
| Occupational Therapist In Private Practice | GA | |
| - | GA | |
| Physical Therapist In Private Practice | GA |
Reviews
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