Provider Demographics
NPI:1427929660
Name:PEARSON, COURTNY
Entity type:Individual
Prefix:
First Name:COURTNY
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:COURTNY
Other - Middle Name:
Other - Last Name:BOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2385 LAWRENCEVILLE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3168
Mailing Address - Country:US
Mailing Address - Phone:855-203-1233
Mailing Address - Fax:332-777-1719
Practice Address - Street 1:2385 LAWRENCEVILLE HWY STE A
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3168
Practice Address - Country:US
Practice Address - Phone:855-203-1233
Practice Address - Fax:332-777-1719
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2080P0006X2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics