Individual provider Active NPI

Jeffrey John Alberghini, M.S., ATC

  • Athletic Trainer
  • Savannah, GA
National Provider Identifier
1114988060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT001256 Issued in GA
Practice address
4700 Waters Avenue
Box # 23089
Savannah, GA 31403-3089
Phone
(912) 604-3406
NPI assigned
Mar 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AT001256 GA Primary

Addresses

Primary practice location

4700 Waters Avenue
Box # 23089
Savannah, GA 31403-3089

Mailing address

450 Al Henderson Blvd
Unit # 3602
Savannah, GA 31419-6034
Phone (912) 604-3406

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 Science

State licenses

LicenseStateTypeSpecialty
AT001256GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114988060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 AL HENDERSON BLVD",
            "address_2": "UNIT # 3602",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314196034",
            "telephone_number": "912-604-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVENUE",
            "address_2": "BOX # 23089",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314033089",
            "telephone_number": "912-604-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERGHINI",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.S., ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.