Active NPI
Joseph Patrick Tallent, ATC
- Athletic Trainer
- Springfield, GA
National Provider Identifier
1235280181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT000447
- Practice address
- 459 Hwy 119 S
Springfield, GA 31329-3021 - Phone
- (912) 754-0195
- Fax
- (912) 754-0197
- NPI assigned
- Jan 16, 2007
- Last updated
- Sep 22, 2010
- Sex
- Male
- Sole proprietor
- No
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 | AT000447 | GA | Primary |
Addresses
Primary practice location
459 Hwy 119 S
Springfield, GA 31329-3021
Mailing address
105 Brookstone Way
Rincon, GA 31326-3403
Phone (912) 754-0700
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 |
|---|---|---|---|
| AT000447 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1235280181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BROOKSTONE WAY",
"city": "RINCON",
"state": "GA",
"postal_code": "313263403",
"telephone_number": "912-754-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 HWY 119 S",
"city": "SPRINGFIELD",
"state": "GA",
"postal_code": "313293021",
"telephone_number": "912-754-0195",
"fax_number": "912-754-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLENT",
"first_name": "JOSEPH",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT000447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, GA
- Southern Choices of the Coast
- Southern Surgical Providers, P.C.
- Southern Surgical Providers, P.C.
- Springfield Chiropractic LLC
- Kelli Stewart, NP
- The Caring Angels Private Home Care Agency LLC
- Kimberly Bowen Thompson, M.ED., CCC-SLP
- Bethany Thornton, RN
- Katrin Usifo, M.D.
- Volunteers of America of Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.