Robert Chavis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

150 Bobby Dodd Way Edge Building Athletic Training Room
Atlanta, GA 30332-0001

Phone

(404) 849-5460

NPI assigned

Jul 7, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1053973313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 BAINBRIDGE DR APT G",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BOBBY DODD WAY EDGE BUILDING ATHLETIC TRAINING ROOM",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320001",
            "telephone_number": "404-849-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "ROBERT",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchavis3@gatech.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Bobby Dodd Way Edge Building Athletic Training Room",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jalaysha Chavers
• Nevaeh Chaniel Chavers, BEHAVIOR TECHNICIAN
• Celeste Alondra Chavez Tercero
• Karen Viviana Chavez
• Casey L Chaviano, PHD, LMFT
• Tina S. Chavis, FNP, PMHNP
• Shella Patel Chawda, N.P.
• Saurabh Chawla, M.D.
• Wesley Chay, M.D.
• CHBW Medical &Rehab Clinic

• All providers in Atlanta, GA
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.