Logan Christoff Jackson Govan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9201 University City Blvd
Charlotte, NC 28223-0001

Phone

(704) 687-8622

NPI assigned

Sep 17, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1104738012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 KC FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 UNIVERSITY CITY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282230001",
            "telephone_number": "704-687-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVAN",
        "first_name": "LOGAN",
        "middle_name": "CHRISTOFF JACKSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica C Gounis, ST
• Megan Gourd, LCSWA
• Blanton Craig Gourley, MD
• Gregg Matthews Gouyd II
• Stacey Renee Gouzenne, MD
• Susan Gover, MA, LPA
• Rachel Gowey, DC
• Goyahkla Peer Support Services L.L.C
• Manish Goyal, MD
• Manuela Goyeneche

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.