Loriann Leggett Phillips, M.S, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003373 Issued in GA

Practice address

651 Fair Road
Statesboro, GA 30458

Phone

(912) 536-4375

NPI assigned

Dec 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Loriann Leggett Tedder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1114382744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 OLD WHITAKER WAY",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304618723",
            "telephone_number": "919-521-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 FAIR ROAD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-536-4375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Maple View Dr",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275458113",
            "country_code": "US",
            "telephone_number": "919-521-6223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LORIANN",
        "middle_name": "LEGGETT",
        "credential": "M.S, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-26",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORIANN",
            "last_name": "TEDDER",
            "middle_name": "LEGGETT",
            "credential": "M.S, LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Pettofrezzo, PT, DPT
• Brandy Anne Petty, M.S., ATC, LAT
• Heather Petty
• Philip L Bertucci,MD,LLC
• Allison Paige Phillips
• Matthew Phillips, MD
• Julie Pickens, CRC
• Kimberly Pierce, CCC-SLP
• Dylan Piette, OD
• Stephanie E Pinard, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.