NPI age
19 years
Enumerated 2007-01-29
● Active
Type 1 · Individual
Clarence David Courson, PA
Courson is 1 of 21 physician assistant providers in Columbus and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 640 active physician assistant providers in Georgia.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
6262 Veterans Pkwy
Columbus, GA 319093540
Mailing address
Po Box 370
Fortson, GA 318080370
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
4519 Woodruff Rd Ste 4 Pmb 318
Columbus, GA 319046096
Location 3
2300 Manchester Expy Ste 101a
Columbus, GA 319046802
Location 4
2300 Manchester Expy Ste A005
Columbus, GA 319046805
Location 5
512 N Shady Ln
Dothan, AL 363032991
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 849945840A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 91 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Columbus in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.