Individual provider Active NPI

Courtney Anne Silvera, ATC

  • Athletic Trainer
  • Marietta, GA
National Provider Identifier
1194009829
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT001967 Issued in GA
Practice address
1590 Bill Murdock Rd
Marietta, GA 30062-5999
Phone
(770) 578-3225
NPI assigned
Sep 29, 2011
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 AT001967 GA Primary

Addresses

Primary practice location

1590 Bill Murdock Rd
Marietta, GA 30062-5999

Mailing address

122 Talking Leaves CT
Acworth, GA 30101-1918
Phone (407) 341-1369

Other practice location 1

1000 Chastain Rd NW
Kennesaw, GA 30144-5588
Phone (770) 425-6701

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

LicenseStateTypeSpecialty
AT001967GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1194009829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 TALKING LEAVES CT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301011918",
            "telephone_number": "407-341-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 BILL MURDOCK RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625999",
            "telephone_number": "770-578-3225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Chastain Rd NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301445588",
            "country_code": "US",
            "telephone_number": "770-425-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERA",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.