P Praxis·MD
● Active Type 1 · Individual

Jaeson K. Courseault

Family Medicine·Atlanta, GA· NPI 1609137140 · Enumerated 2012 · 13 years on NPI
Courseault is 1 of 14 family medicine providers in Atlanta and 1 of 66 in Georgia.
NPI age
13 years
Enumerated 2012-05-31
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 66 active family medicine providers in Georgia.

NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
54% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
3939 Lavista Rd, Ste. E274
Atlanta, GA 30345
📞 4045007224
Mailing address
2994 E Ramble Ln
Decatur, GA 300331120
📞 4045007224

Specialties

  • Family Medicine Primary
    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
    GA license #86941TX license #Q5992 taxonomy 207QS0010X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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