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

Individual provider Surgery Physician · NPI 1770700163

Dr. Courtney Katril Pettiford, MD is a General Surgery in Beckley, West Virginia. Graduated from Morehouse School of Medicine in 2005, 21 years ago. Practices with Augusta Primary Care Services LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Georgia and West Virginia.

Years since qualifying
21
Trained at
Morehouse School of Medicine
Licensed in
GA, WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

122 George St
Beckley, WV 25801-2641
Phone: (304) 250-0382
Fax: (304) 250-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 24518 (WV)
Surgery Physician Taxonomy 208600000X · Licence 64715 (GA)

Record details

NPI number1770700163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESApril 26, 2012

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Augusta Primary Care Services Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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