Georgia Southwestern State University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

GEORGIA SOUTHWESTERN STATE UNIVERSITY

Doing business as

GSW Sports Medicine

Practice address

800 GSW University Drive
Americus, GA 31709

Phone

(229) 931-2225

Fax

(229) 931-2143

NPI assigned

Jun 13, 2014

Last updated

Jun 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Rahn, ATC

Title

Head Trainer for Sports Medicine

Phone

(229) 931-2297

Specialties & licenses 1

Addresses

Other names 1

• GSW Sports Medicine Doing business as

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1023422417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "972-367-4835",
            "fax_number": "972-367-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GSW UNIVERSITY DRIVE",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-931-2225",
            "fax_number": "229-931-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SOUTHWESTERN STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "RAHN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "HEAD TRAINER FOR SPORTS MEDICINE",
        "authorized_official_telephone_number": "229-931-2297",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GSW Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Leslie Fuller, M. D.
• Furlow Charter School, Inc.
• Erika Janelle Gardner
• Bailey Elizabeth Gaultney
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #04672)
• Robby J Gill, CRNA
• Jalisa Givins
• Willie Goggins
• Miska Mycol Golphin-Phelps
• Margaret Mary Nalley Goodin, RD, LD

• Student Health Clinic/Center in Americus, GA
• Providers in Americus, GA by specialty
• Student Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.