Active NPI
Anthony Gus Pirchio Jr., MED, ATC
- Athletic Trainer
- Athens, GA
National Provider Identifier
1104882372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT000999
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | GA | ATHLETIC 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT000999 | GA | MD | Athletic 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.