Active NPI
Eugene W. Patterson, MED.,LAT,ATC,CAA
- Athletic Trainer
- College Park, GA
National Provider Identifier
1235169376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT000276
- Practice address
- 1662 Rugby Ave
College Park, GA 30337-2116 - Phone
- (404) 765-4062
- Fax
- (404) 765-4069
- NPI assigned
- Jul 4, 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 | AT000276 | GA | Primary |
Addresses
Primary practice location
1662 Rugby Ave
College Park, GA 30337-2116
Mailing address
231 Sheffield Chase
McDonough, GA 30253-5935
Phone (770) 898-3403
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000276 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235169376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SHEFFIELD CHASE",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535935",
"telephone_number": "770-898-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 RUGBY AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303372116",
"telephone_number": "404-765-4062",
"fax_number": "404-765-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "EUGENE",
"middle_name": "W.",
"credential": "MED.,LAT,ATC,CAA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT000276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
- Aliciante Parker, BCBA
- Parkview Physical Therapy and Rehab LLC
- Passport 2 Prosperity Incorporated
- Allen Kareem Patmon
- Patriot Healthcare of Georgia, LLC
- Paul Ivey Nettles LLC
- Roslyn Payne-Pamphile, M.D
- Tamara Brown Payne, PHD, CRC, LPC, NCC
- Peachtree Occupational Medicine & Urgent Care
- Peachtree Orthoapedic Clinic, P.a.
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.