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

Jaeson K. Courseault

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1609137140

Jaeson K. Courseault is a Family Practice in Atlanta, Georgia. Graduated from Tulane University School of Medicine in 2012, 14 years ago. Practices with Sports Medicine South of Gwinnett LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Georgia and Texas.

Years since qualifying
14
Trained at
Tulane University School of Medicine
Licensed in
GA, TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

3939 Lavista Rd Ste E274
Atlanta, GA 30345
Phone: (404) 500-7224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 86941 (GA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence Q5992 (TX)

Record details

NPI number1609137140
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 31, 2012
Last updated in NPPESSeptember 13, 2021
Certification dateAugust 27, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Sports Medicine South Of Gwinnett Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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