Nathan Tyler Borget, MAED, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003340 Issued in GA

Practice address

6632 Dixie Rd
Columbus, GA 31905-4218

Phone

(706) 545-1788

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1033695572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 14TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047840",
            "telephone_number": "336-707-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 DIXIE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319054218",
            "telephone_number": "706-545-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGET",
        "first_name": "NATHAN",
        "middle_name": "TYLER",
        "credential": "MAED, LAT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF LICENSING",
            "identifier": "AT003340",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd C Bonvallet, MD
• Boost Your Life Counseling and Consulting, LLC
• Sarah Jane Booth, LPC
• Maria Elizabeth Borelli, M.D.
• Bruce A Boretsky, DMD
• Gordon Borkat, MD
• Michael J. Borkat, M.D.
• Samantha Lyn Boroughs, MD
• Danielle Borr
• Curtis G. Borum, PT

• Athletic Trainer in Columbus, GA
• Providers in Columbus, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.