Active NPI
Michael Jim Brannon, ATC
- Athletic Trainer
- Cochran, GA
National Provider Identifier
1144296989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000321
- Practice address
- 1 Royal Drive
Cochran, GA 31014 - Phone
- (478) 934-6258
- NPI assigned
- Feb 23, 2006
- Last updated
- Jul 13, 2026
- 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 | 000321 | GA | Primary |
Addresses
Primary practice location
1 Royal Drive
Cochran, GA 31014
Mailing address
PO Box 804
Cochran, GA 31014-0804
Phone (478) 290-7802
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000321 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144296989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "COCHRAN",
"state": "GA",
"postal_code": "310140804",
"telephone_number": "478-290-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROYAL DRIVE",
"city": "COCHRAN",
"state": "GA",
"postal_code": "31014",
"telephone_number": "478-934-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "MICHAEL",
"middle_name": "JIM",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "000321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cochran, GA
- Bleckley County Mr Service Center
- Bleckley Emergency Group LLC
- Bleckley NH, LLC (Bryant Health and Rehabilitation Center)
- Bleckley Physician Services LLC
- Megan Emily Bond, LMT
- Brittany Acres, Inc. (White Oaks Personal Care Home)
- Chad Brown
- Julia Eden Brown, PHARMD
- Kevin T Brown, DO
- Bryant Health and Rehabilitation Center, Inc.
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.