| Courtney C Larson, CRNA, FNP-C | |
|
4855 Windward Pkwy Ste 200, Milton, GA 30004-8609 | |
| (770) 840-5502 | |
| Not Available |
| Full Name | Courtney C Larson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 4855 Windward Pkwy Ste 200, Milton, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114266160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN202447 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN202447 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Atlanta Anesthesia Consultants Llc | 4486818093 | 17 |
| Entity Name | Anesthesia Associates Of Gainesville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457456485 PECOS PAC ID: 2769381771 Enrollment ID: O20040108000009 |
| Entity Name | Ambulatory Anesthesia Of North Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497870562 PECOS PAC ID: 9931121332 Enrollment ID: O20051229000181 |
| Entity Name | Atlanta Hand Specialist Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1285912923 PECOS PAC ID: 5890952410 Enrollment ID: O20120208000844 |
| Entity Name | Ahs Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316214604 PECOS PAC ID: 7911169925 Enrollment ID: O20120508000359 |
| Entity Name | Atlanta Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487928370 PECOS PAC ID: 4486818093 Enrollment ID: O20120612000168 |
| Entity Name | Gastroenterology Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942563242 PECOS PAC ID: 3779730080 Enrollment ID: O20120821000929 |
| Entity Name | Ahs Surgery Center Canton, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1225457948 PECOS PAC ID: 6103043377 Enrollment ID: O20140812000706 |
| Entity Name | Carpus Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1568864452 PECOS PAC ID: 4688994387 Enrollment ID: O20150520002165 |
| Entity Name | Radius Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1215302906 PECOS PAC ID: 1456644244 Enrollment ID: O20160802000541 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Ulna Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1881147965 PECOS PAC ID: 8729356977 Enrollment ID: O20170613001165 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney C Larson, CRNA, FNP-C 4505 Atwood Dr, Cumming, GA 30040-3068 Ph: (770) 823-2937 | Courtney C Larson, CRNA, FNP-C 4855 Windward Pkwy Ste 200, Milton, GA 30004-8609 Ph: (770) 840-5502 |