Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAESON K. COURSEAULT
Active Sole ProprietorJAESON K. COURSEAULT is a Sports Medicine healthcare provider located in ATLANTA, Georgia. NPI 1609137140 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ATLANTA, GA
Registration Details
- NPI Number
- 1609137140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2012 (14.161087797239 yrs)
- Last Updated
- Sep 13, 2021
- Licenses
-
Q5992 (TX)86941 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3939 LAVISTA RDSTE. E274ATLANTA, GA, 30345Browse GA providers · Browse ZIP 30345
- Phone
- 4045007224
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| NATALIE WITTE | M.D. | 1588622963 |
| DR. MICHAEL J SAMPSON | D.O. | 1457388621 |
| DR. CHARLES EDWARD GARTEN II | M.D. | 1942234281 |
| DR. BRANDON A MINES | MD | 1427150150 |
| DR. MICHAEL JOSEPH HUEY | MD | 1366549073 |
| DR. JOSEPH ANTHONY MARTINO JR. | M.D. | 1740462886 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.