Courtnay Kelly Perryman, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Thomasville, GA. Individual provider (NPI-1).
NPI number1003697103
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1003697103
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Courtnay Kelly Perryman
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2023
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN236174 | GA | Yes |
Practice location
1102 Smith Ave Ste KThomasville, GA 31792-5740
Phone 229-225-4335
Mailing address
11731 Salem RdPavo, GA 31778-3958
Phone 229-403-4868
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All 11 Psychiatric/Mental Health Nurse Practitioner providers in Thomasville · All 1,162 providers in Thomasville
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