Organization Active NPI

Athletic Edge Performance

  • Physical Therapy Clinic/Center
  • Augusta, GA
National Provider Identifier
1003693029
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ATHLETIC EDGE PERFORMANCE
Practice address
2531 Center West Parkway
Building 100, Suite 700
Augusta, GA 30909-2141
Phone
(770) 652-7477
Fax
(762) 218-2938
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Austin Shelnutt, PTNPI 1205366465
Title
Ceo
Phone
(770) 652-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2531 Center West Parkway
Building 100, Suite 700
Augusta, GA 30909-2141

Mailing address

4043 Fieldcrest Dr
North Augusta, SC 29841-0145
Phone (770) 652-7477

National Provider Directory

National Provider Directory

Locations

619 E Robinson Ave
Grovetown, GA 30813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1003693029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 FIELDCREST DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298410145",
            "telephone_number": "770-652-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 CENTER WEST PARKWAY",
            "address_2": "BUILDING 100, SUITE 700",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092141",
            "telephone_number": "770-652-7477",
            "fax_number": "762-218-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC EDGE PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "SHELNUTT",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-652-7477",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.