Individual provider Active NPI

Anthony Gus Pirchio Jr., MED, ATC

  • Athletic Trainer
  • Athens, GA
National Provider Identifier
1104882372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT000999 Issued in GA
Practice address
100 Smith St
Stegeman Coliseum
Athens, GA 30602-1505
Phone
(706) 542-6521
Fax
(706) 542-7707
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT000999 GA Primary

Addresses

Primary practice location

100 Smith St
Stegeman Coliseum
Athens, GA 30602-1505

Mailing address

165 Vista Dr
Athens, GA 30605-3731
Phone (706) 613-9827

Other identifiers 1

IdentifierTypeStateIssuer
22OtherGAATHLETIC TRAINER

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
AT000999GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104882372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 VISTA DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053731",
            "telephone_number": "706-613-9827",
            "fax_number": "706-542-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SMITH ST",
            "address_2": "STEGEMAN COLISEUM",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021505",
            "telephone_number": "706-542-6521",
            "fax_number": "706-542-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRCHIO",
        "first_name": "ANTHONY",
        "middle_name": "GUS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MED, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT000999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "22",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

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

Verify at the official NPI Registry.