Healthcare Provider Details

I. General information

NPI: 1174715718
Provider Name (Legal Business Name): AARON SCOTT COURINGTON APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 KINGS WAY
VALDOSTA GA
31602-6921
US

IV. Provider business mailing address

PO BOX 370
FORTSON GA
31808-0370
US

V. Phone/Fax

Practice location:
  • Phone: 229-333-9736
  • Fax: 229-333-0225
Mailing address:
  • Phone:
  • Fax: 706-221-3132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP186396
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: