Active NPI
Robert M Loughry, ATC
- Athletic Trainer
- Columbus, GA
National Provider Identifier
1013209915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2764
- Practice address
- 6262 Veterans Pkwy
Columbus, GA 31909-3540 - Phone
- (706) 494-3345
- NPI assigned
- May 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2764 | AL | Primary |
Addresses
Primary practice location
6262 Veterans Pkwy
Columbus, GA 31909-3540
Mailing address
6233 Charing Dr
Columbus, GA 31909-3733
Phone (724) 350-9415
Other practice location 1
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone (762) 408-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2764 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1013209915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6233 CHARING DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093733",
"telephone_number": "724-350-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 VETERANS PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093540",
"telephone_number": "706-494-3345"
}
],
"practiceLocations": [
{
"address_1": "6600 Van Aalst Blvd",
"address_purpose": "LOCATION",
"city": "Fort Benning",
"state": "GA",
"postal_code": "319052102",
"country_code": "US",
"telephone_number": "762-408-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUGHRY",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.