Ashley Perdue, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003827 Issued in GA

Practice address

7300 Reinhardt Cir
Waleska, GA 30183-2981

Phone

(770) 720-5600

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

No

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1205394889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 REINHARDT CIR",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "301832981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 REINHARDT CIR",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "301832981",
            "telephone_number": "770-720-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1971 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245150002",
            "country_code": "US",
            "telephone_number": "434-582-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "ASHLEY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taz Hunter Kicklighter, MS, ATC
• Stephania Medina, ATC, LAT
• Marigrace Celeste Moncrief, LMSW
• Leah Sharp Ozment, LCSW
• Kristy Anne Pastush
• Carissa Perine, RN
• Kiley Lynne Pinson
• Rivers Health and Wellness Pharmacy (Northside Pharmacy Waleska)
• Roxanne Alexandria Rivers
• Kellen Shervington, A.T.C., L.A.T

• Athletic Trainer in Waleska, GA
• Providers in Waleska, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.