Active NPI
Gary G Nelson, ATC, SCAT
- Athletic Trainer
- Sumter, SC
National Provider Identifier
1144327396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2255A2300X
- Practice address
- 2580 McCrays Mill Rd
Sumter, SC 29154-6028 - Phone
- (803) 481-4480
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2255A2300X | SC | Primary |
Addresses
Primary practice location
2580 McCrays Mill Rd
Sumter, SC 29154-6028
Mailing address
688 Red Bud Park
Sumter, SC 29150-2328
Phone (803) 469-4926
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 |
|---|---|---|---|
| 2255A2300X | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144327396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 RED BUD PARK",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502328",
"telephone_number": "803-469-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 MCCRAYS MILL RD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291546028",
"telephone_number": "803-481-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "GARY",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "ATC, SCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "2255A2300X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
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.