Melissa Bown, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002810 Issued in GA

Practice address

2277 Martha Berry Hwy NW
Mount Berry, GA 30149-9707

Phone

(248) 875-3184

NPI assigned

Dec 30, 2016

Last updated

Dec 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1194260166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 TAYLOR RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147615",
            "telephone_number": "248-875-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 MARTHA BERRY HWY NW",
            "city": "MOUNT BERRY",
            "state": "GA",
            "postal_code": "301499707",
            "telephone_number": "248-875-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWN",
        "first_name": "MELISSA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Berry, ATC
• Mary L Przekwas, ATC

• Athletic Trainer in Mount Berry, GA
• Providers in Mount Berry, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.