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

Courtney Thompson

Individual provider Surgical Physician Assistant · NPI 1942783642

Courtney Thompson is a Physician Assistant in Winter Park, Florida. Qualified in 2018, 8 years ago. Practices with Charles J Koller MD PA, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018

Practice location Address checks out

2055 Glenwood Dr
Winter Park, FL 32792-3307
Phone: (407) 645-3555
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1942783642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESSeptember 10, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Charles J Koller Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winter Park