Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Atkins Villasuso, PA-C

Individual provider Physician Assistant · NPI 1861047466

Courtney Atkins Villasuso, PA-C is a Physician Assistant in Clyde, North Carolina. Qualified in 2019, 7 years ago. Practices with Mountain Laurel Dermatology PLLC, a 5-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
7
Licensed in
NC, SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

11 Falcon Crest Ln
Clyde, NC 28721-6620
Phone: (828) 565-0560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 600 Alliance Ct Ste 200, Asheville, NC 28806-5001 — (828) 565-0562
  • 808 Farrar Dr, Conway, SC 29526-8747 — (843) 234-8700
  • 1100 62nd Ave N, Myrtle Beach, SC 29572-7202 — (843) 234-8700

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3571 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-15185 (NC)

Record details

NPI number1861047466
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mountain Laurel Dermatology Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clyde