THERESA M. COURTNEY (M.D.) – Pediatrics Physician, NPI 1508877325

THERESA M. COURTNEY (M.D.) is a healthcare provider. based in Macon, Georgia. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. 027043 (GA). The NPI Number for THERESA M. COURTNEY (M.D.) is 1508877325

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
THERESA M. COURTNEY (M.D.)
NPI
1508877325
Phone
(478) 803-7631
Address
175 EMERY HWY
Enumeration Date
10 August 2006
Last Update Date
29 March 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4788037600
Graduation Year
1983 (43 years ago)
PAC ID
1254479835
Group Practice PAC ID
1153315874
Professional Enrollment ID
I20091119000409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for THERESA M. COURTNEY (M.D.)

  • Middle Georgia Regional Commission, 175, Emery Highway, Macon, Bibb County, Georgia, 31217, United States

    RIVER EDGE BEHAVIORAL HEALTH

    MACON, GA 312173692

    Phone: (478) 803-7631

    Fax: (478) 803-8596

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-11-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091119000409IPediatric MedicineGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31217)

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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: 1153315874View full group profile

Reviews

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Frequently asked questions

What is the registry number for THERESA M. COURTNEY (M.D.)?
The registry entry for THERESA M. COURTNEY (M.D.) shows NPI 1508877325.
Quick check: is THERESA M. COURTNEY (M.D.) active?
Public NPPES data shows THERESA M. COURTNEY (M.D.) with an active NPI status right now.
What services align with THERESA M. COURTNEY (M.D.)'s listing?
THERESA M. COURTNEY (M.D.)'s public classification highlights Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Can patients visit THERESA M. COURTNEY (M.D.) in Macon, Georgia?
For routing, start with Macon, Georgia for THERESA M. COURTNEY (M.D.), then verify phone and hours locally.
Can I export THERESA M. COURTNEY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.